The New Hampshire Learning Initiative in partnership with PBLWorks of the Buck Institute for Education are pleased to host the first annual PBL New Hampshire to bring PBL to teachers, instructional coaches and leaders working in New Hampshire.

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* 1. FIRST NAME (As you would like on your nametag)

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* 2. LAST NAME (As you would like on your nametag)

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* 3. SAU NUMBER

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* 4. EMAIL ADDRESS

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* 5. WHICH TRACK ARE YOU REGISTERING FOR?

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* 6. WHAT IS YOUR ROLE IN THE DISTRICT

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* 7. WHAT GRADE BAND BEST DESCRIBES YOUR ASSIGNMENT?

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* 8. SCHOOL/OFFICE YOU WORK IN

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* 9. DO YOU HAVE ANY DIETARY OR MOBILITY RESTRICTIONS?

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* 10. HOW ARE YOU PLANNING TO PAY THE $375 FOR THIS PROGRAM?

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