IISME Teacher Creativity Institute Registration

Please contact Eric Hamilton (eric.hamilton@pepperdine.edu) with questions.

The session will be held 2 July at the University of Sydney in room 230 of the Education Building. It runs from 10-4:30.

We expect to post information at http://teacherscreate.org/iisme

After registration, you will be contacted with additional information. Thank you!

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* 1. Your family name

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* 2. Your given name

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* 3. The school where you teach.

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* 4. Your electronic mail address

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* 5. The grade level(s) and subject(s) that you teach.

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* 6. Daytime phone

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* 7. Evening phone

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* 8. Please check the boxes that apply.

I have little or no experience in creating math or science videos and I am looking for help in getting started.

I have some experience in creating such videos and I am looking to advance my skills

i have significant experience and I am looking to sharpen my skills and to help others

Other (please specify)

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* 9. What is your experience with digital ink or tablet computer for writing?

I have not used tablet computers or digital ink.

I have a little bit of experience in tablet computers and digital ink.

I have substantial experience in tablet computers and digital ink.

Other (please specify)

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* 10. This project explores student-teacher collaboration, also. Are you interested or able to bring 1 or 2 secondary school student who might be interested in creating teacher videos with you? (If so, we will forward consent forms, etc.)

Yes

Maybe

(Please explain)

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* 1. Your family name

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* 2. Your given name

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* 3. The school where you teach.

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* 4. Your electronic mail address

Question Title

* 5. The grade level(s) and subject(s) that you teach.

Question Title

* 6. Daytime phone

Question Title

* 7. Evening phone

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* 8. Please check the boxes that apply.

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* 9. What is your experience with digital ink or tablet computer for writing?

Question Title

* 10. This project explores student-teacher collaboration, also. Are you interested or able to bring 1 or 2 secondary school student who might be interested in creating teacher videos with you? (If so, we will forward consent forms, etc.)

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* 11. Any other questions or comments are welcome.