Dr. Jo Boaler August 28, 2015 Survey

In collaboration with the UNH College of Engineering and Physical Sciences, and the NH Southeasters Curriculum, Instruction, & Assessment Team, SAU21 presents:

Sorry-CURRENTLY FULL

The Mindset Revolution: How to Teach for a Growth Mindset and Drastically Increase Math Achievement for K-12 Students

Day-long Workshop:
Date: Friday, August 28, 2015
Time: 8:30am to 2:30pm
Where: Blue Ocean Music Hall

4 Ocean Front North

Salisbury, MA 01952
Cost: $100 per person, teams of 4 & 8 have priority
Morning snack and lunch provided, convenient parking
Check the SAU21.org website and Dr. Boaler for more information.
Questions: email pkennedy@sau21.org

Question Title

* 1. Please enter your contact information (we will only use this to send a reminder the week before the event or if there is pertinent information that can assist you, such as parking information).

First Name:

Last Name:

Email Contact:

Best Phone # (only used for emergency):

Question Title

* 2. What best describes you? Please choose the most appropriate response(s). This will assist Dr. Boaler in knowing the audience!

K-5 Teacher

Middle School Teacher

High School Teacher

Administrator or Curriculum Coach

School Board Member

Community Member

Higher Education Instructor

Graduate Student

Educational Consultant

State Level Leader

Other (please specify)

Question Title

* 3. A little more info... so we know the geographic reach of this presentation.

	SAU#
Your school district (SAU# or add in the name)	Your school district (SAU# or add in the name) SAU# menu

Other (please specify a different SAU, RSU # or town/state

Question Title

* 4. Do you need any special food accommodations for this workshop? Please let us know and we'll do our best to meet them.

Vegetarian

Guten Free

Nut Allergies

Other (please specify)

Question Title

* 5. How will you or your organization pay for this event?

Personal Check

Institution Purchase Order

Please indicate here if you are part of a school or district team! Which school or district?

*Please understand that your confirmation occurs after the workshop payment method is received.

Send PO or personal check to:
SAU 21
2 Alumni Drive
Hampton, NH 03842
Please note Math Conference on check or PO

Questions? Email Phyllis Kennedy: pkennedy@sau21.org

There will be no refunds for cancellations after August 15th, but you may substitute a colleague with notification to our office by Aug 25th, 2015. Please contact your finance office about requesting a PO for the 2015-16 year asap since many districts will need to use 2015-16 budgets.