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* 1. Please enter your contact information:

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* 2. If you're a teacher, please describe the following: (if you're not a teacher, indicate your role and how curriculum will be used.

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* 3. Please describe your IT Exploration Curriculum use experience.

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* 4. Please indicate which module(s) you have the strongest desireĀ for training and support.
Note: you can select one or more options.

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* 5. What is your individual objective/goal for the day?

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* 6. Please describe how you are, or you foresee yourself, using the IT Exploration curriculum.

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* 7. Will the subject material be taught in a:

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* 8. How did you hear about IT Exploration?  Check all that apply:

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