Science Educators Workshop Registration form

Thank you for your interest in AMP's Science Educator Workshop to be held on Wednesday November 15, 2017 in Salt Lake City!
Please complete the online survey/registration below to register for the workshop.

We are looking forward to seeing you! -- The AMP Training & Education Committee
Science Educator Contact Information

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* 1. Science Educator Contact Information

You may bring up to three (3) of your students. If so, please indicate their full names and grade levels.

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* 2. You may bring up to three (3) of your students. If so, please indicate their full names and grade levels.

What grade level(s) do you teach?

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* 3. What grade level(s) do you teach?

What course(s) do you currently teach?

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* 4. What course(s) do you currently teach?

At what type of school do you teach?

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* 5. At what type of school do you teach?

How did you hear about the Science Educators Workshop?

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* 6. How did you hear about the Science Educators Workshop?

Do you have any comments/questions for the AMP Planning Committee or Staff members?

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* 7. Do you have any comments/questions for the AMP Planning Committee or Staff members?

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