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Lower Columbia SubCommunities Registration 11/30/2023

Lower Columbia SubCommunities - November

Please register for SubCommunities - Lower Columbia  on November 30, 2023 from 6:00pm - 7:30pm at WEA - Lower Columbia Uniserv (2240 Robbins Street, Longview, WA 98632)
1.First Name(Required.)
2.Last Name(Required.)
3.Email Address(Required.)
4.Phone Number(Required.)
5.Address(Required.)
6.WEA Membership Status(Required.)
7.Please list all of the School Districts you substitute teach(Required.)
8.What level do you primarily substitute in? (check all that apply)(Required.)
9.Please identify the type of Substitute Certificate you have(Required.)
10.Including this year, how many years have you worked in education?(Required.)
11.Are you interested in becoming a certified teacher in the state of Washington?(Required.)
12.Would you like to be added to our mailing list for future events?
13.Please list any dietary allergies or preferences you have(Required.)
14.We will be videotaping and taking photos during this session for use in trainings to develop more regional events like this.  Please confirm if you are OK with this.(Required.)
Demographics
WEA's Emergency Substitute Project's goal is to have Subcommunities reflect the diverse backgrounds, experience, and identities that represent Washington communities.  This survey will help us stay accountable and measure our progress.
If you are not comfortable answering any of these questions, please select prefer not to answer.
15.Gender(Required.)
16.Race(Required.)
17.Level of College Degree(s) (check all that apply)(Required.)
18.Do you experience a disability?(Required.)
19.Have you ever served on active duty in US Armed Forces?(Required.)
20.Do you identify as LGBTQIA+(Required.)