Bogan Spark Day Signup

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* 1. First Name:

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* 2. Last Name:

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* 3. Email Address

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* 4. Phone number

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* 5. Your SPARK Topic (in under 140 characters)

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* 6. Activity/ experience that students will do:

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* 7. Maximum number of students in my group:

12

25

50

Other (please specify)

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* 8. Space desired:

Classroom with white board

Classroom with projector

Large space to move about

Outdoor space

Other (please specify)

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* 9. Resources needed (if any):

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* 10. What grade(s) would you like to visit?

2

3

4

5

I'm flexible!

I have a specific class that I would like to visit.

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* 11. Are you willing to repeat your session with a second group?

Yes, of course

Once is enough