Dear participant,

Thank you for your interest in the immersive blended learning PBL program with coaching. This is a certificate program for 25 PD hours, designed to deepen your ability to implement transformational Project- Based Learning experiences through a mixture of online learning and a supportive community! The program costs $333 USD per person which includes online learning, access to resources, planning documents, the community, and a project review. Please apply for the program by providing a short background of yourself and your needs below, and I will be in touch with next steps. 

Your blended learning PBL Coach,
Kyle Wagner

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* 1. What is your name?

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* 2. What is your email? 

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* 3. What is the name of your school/ organization? 

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* 4. What is your role in education?

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* 5. Which training are you applying for?

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* 6. How many teachers are you enrolling? (If you are a coordinator/ school administrator indicate how many teachers you wish to enroll)

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* 7. Please indicate your understanding of each of the following program pre-requisites:

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* 8. Please indicate your level of experience with project- based learning

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* 9. Why project- based learning? What are you hoping project- based learning will do for you and your students?

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* 10. Is there anything else I need to know to best support you in the PBL community? 

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