2016 From Seeds to Shoreline Teacher Workshop Registration

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* 1. Please tell us a little about you:

First Name:

Last Name:

Home Address:

City:

State:

Zip Code:

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* 2. Please tell us a little about your school:

School Name:

School District:

School Address:

City:

County:

State:

Zip Code:

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* 3. Please provide the best email address to use to contact you (including summer)

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* 4. Please provide the best phone number to use to contact you (including summer)

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* 5. What grades do you currently teach?

Other (please specify)

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* 6. What subject(s) do you currently teach?

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* 7. Approximately how many students will you be teaching during the 2016-2017 school year?

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* 8. How did you learn about this event?

South Carolina Sea Grant Consortium listserv

district listserv

printed materials (e.g.: news)

word-of-mouth

current or former From Seeds to Shoreline participant

Ripple Effect Newsletter

website

other

Other (please specify)

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* 1. Please tell us a little about you:

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* 2. Please tell us a little about your school:

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* 3. Please provide the best email address to use to contact you (including summer)

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* 4. Please provide the best phone number to use to contact you (including summer)

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* 5. What grades do you currently teach?

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* 6. What subject(s) do you currently teach?

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* 7. Approximately how many students will you be teaching during the 2016-2017 school year?

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* 8. How did you learn about this event?

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* 9. Please tell us why you are interested in attending the From Seeds to Shoreline Teacher Workshop (Maximum 300 words).