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* 1. I plan to attend the summer institute from July 27th to July 30th (please note that the institute is 4 days... have Friday off !)

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* 2. My name is

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* 3. My e-mail address is (so we can get in touch with updates)

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* 4. My phone number (best number to reach you)

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* 5. The name of my school is

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* 6. I teach

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* 7. The demographics of the students that I teach can be best described as (choose all that apply)

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