If you have any questions, please contact Lindzy Bivings at lbivings@calacademy.org

* 1. Please fill out the following:

* 2. If applying with teammates, who are they?
(Teams of 2 or more receive a $50 discount per person)

* 3. Please mark the program(s) that you would like to sign up for:
(if you are an Academy Staff Member or Volunteer, please check the "scholarship" boxes)

* 4. Are you able to attend all of the sessions in the program(s) you have selected?

* 5. What type of organization do you work for?
(select all that apply)

* 6. What types of audiences do you normally work with when teaching?
(select all that apply)

* 7. What format(s) do your programs/ activities normally follow?

* 8. About how many years have you been in an educator role?

* 9. What are you most interested in gaining from this professional learning program?

Thanks for your application- we will be in touch soon! If you have any questions, please contact Lindzy Bivings at lbivings@calacademy.org

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