This information should be filled out about the educator who is implementing Design LAB. This will be the main contact for the classroom and will be contacted primarily by email. 

If the contact person for the classroom changes, please notify Christen Lubbers, Executive Director, at clubbers@architecturecincy.org.

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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. Best Phone Number (w/area code)

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* 5. Are you a new or returning educator?

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* 6. School Name

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* 7. School District

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* 8. School County

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* 9. School Address

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* 10. Which best describes your type of school?

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* 11. What percentage of your school is on free or reduced lunch?

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* 12. How many classrooms will you have participating in Design LAB?

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* 13. Are each of these classes yours?

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* 14. Classroom #1 Grade Level(s)

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* 15. Classroom #1 Subject

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* 16. Projected number of students in Classroom #1

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* 17. How many students in classroom #1 are best described by:

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* 18. For EACH additional classroom (if applicable), please indicate:
1) Grade Level
2) Subject
3) Number of Students
4) Ethnic breakdown of students

Example: Classroom 2: Grade 6, Geometry, 26 students, 20 black, non-hispanic, 6 white, non-hispanic

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* 19. How often would you prefer for your volunteer to come to your classroom?

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* 20. Are any of the classrooms participating a gifted enrichment class?

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* 21. Available class schedule, Monday-Friday (your volunteer(s) will sign up to help with your class using this information):

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* 22. How many years have you been doing Design LAB or is this your first year?

By submitting this information, you are committing to have each class you sign up participate in the entirety of this program (meaning: your students will create a model that will be on display at the exhibit). If this commitment is not fulfilled and you fail to communicate with the Executive Director about why it was not fulfilled, your participation in the program will be suspended. 

If any of this information changes, please contact the Executive Director, Christen Lubbers, immediately at clubbers@architecturecincy.org.


SUBMITTING THIS INFORMATION DOES NOT REGISTER YOU FOR THE PROGRAM - YOU WILL STILL NEED TO RESPOND TO THE FOLLOW-UP EMAIL TO FINALIZE REGISTRATION.

Thank You :) We are looking forward to working with you this year!

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