Legacy International's Professional Development Trainings for TAP
2018

Registration Form

Please complete the registration form below. The following questions will help us to understand the needs of our audience in advance.

All workshops are 9:00 AM to 5:00 PM.

Question Title

* 1. Personal Information

Name *

Home Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country

Email Address *

Phone Number *

Question Title

* 2. Current Position:

Title

Employer

Subject Area(s)

Grades or Ages with whom you currently work

Number of years in this position

Question Title

* 3. Previous Position

Title

Employer

Subject Area(s)

Grades/Ages

Number of years in this position

Question Title

* 4. Rank the importance of the following in your work:

Increasing personal and youth self-awareness and self confidence

N/A

empowering young people to lead school and/or community projects

N/A

Increasing tolerance, appreciation for diversity, and respectful communication among youths

N/A

Increasing positive collaboration among peers

N/A

increasing ability to facilitate dialogue on difficult topics

N/A

Question Title

* 5. In which of the following areas are you seeking to gain new skills? Choose as many as may apply.

Working with youths

Working with colleagues

Dealing with parents

Dealing with prejudice and stereotyping

Managing disrespect

Other _____________________

I hereby grant Legacy International (LI) non-revocable permission to capture my image and likeness in photographs, videotapes, motion pictures, recordings, or any other media. I acknowledge that LI will own such images and further grant LI permission to copyright, display, publish, distribute, use, modify, print and reprint such images in any manner whatsoever related to LI. I further waive any right to inspect or approve the use of the image by LI prior to its use. I forever release and hold LI harmless from any and all liability arising out of the use of the images in any manner or media whatsoever, and waive any and all claims and causes of action relating to use of the images, including without limitation, claims for invasion of privacy rights or publicity.

Question Title

* 6. Please upload a resume if available.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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Legacy International's Professional Development Trainings for TAP
2018

Registration Form

Question Title

* 1. Personal Information

Question Title

* 2. Current Position:

Question Title

* 3. Previous Position

Question Title

* 4. Rank the importance of the following in your work:

Question Title

* 5. In which of the following areas are you seeking to gain new skills? Choose as many as may apply.

Question Title

* 6. Please upload a resume if available.

Question Title

* 7. We want to know more about our participants as we prepare our Workshop for you. Please share with us your most successful endeavor.

Question Title

* 8. What has been your most challenging experience?

Question Title

* 9. What do you hope to accomplish professionally in the next five years?

Question Title

* 10. Photo/Video Release

Question Title

* 1. Personal Information

Question Title

* 2. Current Position:

Question Title

* 3. Previous Position

Question Title

* 4. Rank the importance of the following in your work:

Question Title

* 5. In which of the following areas are you seeking to gain new skills? Choose as many as may apply.

Question Title

* 6. Please upload a resume if available.

Question Title

* 7. We want to know more about our participants as we prepare our Workshop for you. Please share with us your most successful endeavor.

Question Title

* 8. What has been your most challeng﻿ing experience?

Question Title

* 9. What do you hope to accomplish professionally in the next five years?

Question Title

* 10. Photo/Video Release

* 8. What has been your most challenging experience?