Registration Form

Thank you for registering for Social Emotional Learning in Action: A Symposium for Practitioners which will take place on August 18, 2017 at Highline College from 9:00 a.m. to 4:30 p.m. This event has been planned by a committee of the Youth Development for Education Results Roadmap Workgroup staffed by YDEKC. 

Description: An interactive professional development experience to enhance your ability to build social and emotional strengths in yourself and your students across differences of race and culture.

Audience: Open to all who work with school-age children and youth: K-12 teachers, counselors, after-school and youth development professionals, and more. 

For more information, check out the event flyer!

* 1. First and Last Name

* 2. Job Title

* 3. School district or organization. If you work in a school, please include the name of the school.

* 4. What name do you prefer on your name badge?

* 5. Email Address

* 6. Are you interested in receiving Washington State Clock Hours or STARS Credits?

* 7. Please check if you have any special meal requests for lunch. (Check all that apply.)

* 8. Where do you do most of your work? (Choose one.)

* 9. In which school district do you most frequently conduct your work?  (If you operate across multiple school districts, which area would you like to focus on for the purpose of this conference?)

* 10. What age group(s) do you focus on most? (Check all that apply.)

* 11. What are you most interested in learning more about? (Check all that apply.)

* 12. Which topics are you most knowledgeable about? (Check all that apply.)

* 13. We are seeking practitioners with expertise in the topics listed above to lead interactive 90-minute workshops at the Symposium. Would you or someone you know be interested in leading a workshop on one of the topics listed above? Please include contact information, the specific topic, and a brief description of the session.

* 14. Is there anything else you want us to know?

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