2021 Science of Food Educator Program Registration

Thank you for applying for the 2021 Educator Program on June 23, 2021 from 9:30am - 12:00pm CT!

Please fill out the questions below. We will follow up with more information regarding the event. Should you have any questions, please email feedingtomorrow@ift.org.

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* 1. Your Information

Full Name

School Name and District

School Address

School Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Work Email Address

Mobile Phone Number

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* 2. Do you give us permission to text you reminders about the event?

Yes

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* 3. Personal e-mail for the summer to use for reminder communication

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* 4. Are you a teacher or an administrator?

Teacher

Administrator

Other (please specify)

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* 5. How many students do you teach annually?

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* 6. What grade level do you primarily teach?

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* 7. What subject(s) do you primarily teach?

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* 8. What affiliate organizations do you belong to? Name them all. Explain the acronym, if used one (i.e. AAE - Assn American Educators, IL Science Teacher Assn)

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* 9. Do you use food to teach any lessons in your class? If so, what is the lesson/concept that you use food to teach?

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* 10. I understand my commitment of registering for the Science of Food Educator event registration and I will participate in this fun event on June 23, 2021.

I agree

I disagree

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* 11. Feeding Tomorrow Terms of Participation Waiver and Release

As a condition of my participation in this meeting or event, I hereby waive and release any claim I may have against the Institute of Food Technologists (IFT) and Feeding Tomorrow Foundation (FT) and its officers, directors, employees, or agents, or against the presenters or facilitators and
release these parties from and against any and all liability for damage or injury that may arise from my participation or attendance at the event.

I acknowledge that participation in IFT and FT events and activities brings some risk and I do hereby assume responsibility for my own well being.

Ownership of Content
I understand and agree that all property rights in the material presented, including common law
copyright, are expressly reserved to the presenter or speaker or to IFT or FT.

Media Release
IFT and FT intends to take photographs and video of this event for use in news and promotionalmaterial, in print, electronic and other media, including the IFT and FT website. By participating in this event, I grant IFT the right to use any image, photograph, voice, or likeness, without
limitation, in its promotional materials and publicity efforts without compensation. All media become the property of IFT and FT. Media may be displayed, distributed or used by IFT for any
purpose.

By checking the box "I agree" below I acknowledge I have carefully read, accept, and agree to the terms of this waiver, and know and understand their contents.

I agree

I disagree