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* 1. NOTE: We now have more than 200 people registered for this event! The room has a limited capacity, so if you register now, we will do our best to get you in, but there MAY NOT be space. The session will be recorded and posted for viewing a day or two after the event.

This survey is to register for the Teachers' Letters to Obama Teacher Roundtable: Stop Griping, Start Organizing, scheduled for Tuesday, Sep. 28, 8:30 to 10:30 pm Eastern time, 5:30 to 7:30 pm Pacific time. You will receive a link with instructions the day before the event.

* 2. What is your name?

* 3. Your email address?

* 4. Are you a:

* 5. If you are a teacher, where do you you teach?

* 6. Please list any distinctions you have earned as a teacher (NBCT, teacher of the year, etc)