Geography, at the Intersection of Art and Literature

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* 1. Please fill out the following information.

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* 2. What is your role in education? For example; Teacher, Instructional Facilitator, Librarian, etc...

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* 3. What age level of learners do you teach?

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* 4. What subject(s) do you teach?

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* 5. How often do you integrate themes of geography into your curriculum units?

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* 6. How often do you use primary sources in your classroom?

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* 7. Rank your level of familiarity with the Wyoming Geographic Alliance.

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* 8. Rank your level of familiarity with the Wyoming History Day program?

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* 9. Why do you want to attend the WGA-WHD Summer Institute?

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* 10. Are you willing and able to make a commitment to meet the following expectations as part of your participation in the summer institute?

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* 11. If needed, the WY Geographic Alliance and Wyoming History Day have several scholarships available for participants to cover lodging expenses and mileage reimbursement. If you'd like to apply for a scholarship, please indicate below and we'll send you the paperwork.

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* 12. Please describe any dietary restrictions, special needs, or accommodations you may need to ensure successful participation in the institute. Thank you.

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