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* 1. Name (First, Last)

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* 2. What is the name of your affiliation/organization (e.g., a university, an afterschool program, a network, a state, etc.)?

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* 3. Phone Number (where we can reach you during business hours)

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* 4. Email Address

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* 5. If you selected Option 3 for Question 5, please share the name of the state network or funding initiative. 

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* 6. Are you training individually or hoping to train with a team of colleagues?

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* 7. Please select the training you are registering for:
(If you are signing up for a training and it is past the registration deadline, please contact Hannah Meisels (hmeisels@pearinc.org) to verify that there is still room in the training.)

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* 8. For our webinar trainings, you must be comfortable using Adobe Connect to interact LIVE during trainings and to watch some recorded segments. Also, you must be comfortable using online websites like youtube or vimeo to watch video-clips. You must have access to high-speed internet, a phone line, and speakers. Are you comfortable with these technology requirements?

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