BACKGROUND INFORMATION

The purpose of this survey is to obtain feedback from Instructors regarding their experience participating in the TechXcite training program. Your responses will be completely confidential as only summary information will be reported.


If you have not yet signed a consent form, please do so now and email it to anne-d@compasseval.com and techxcite@duke.edu OR fax it to Anne D'Agostino at 919-321-6997.


To download the Duke consent form, click here:
http://techxcite.pratt.duke.edu/docs/TechXcite_Instructor_ConsentForm.pdf


* State:

* Training Date (MONTH, DAY, YEAR):

* Training Location:

* After-school Site Name:

* Grade Level of Participants:

* Program Training Type (check all that apply):

* Please select the modules for which you received training:

 
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