CS4HS @ UMD registration

1. Default Section

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* 1. Attendee

First name

Last name

Affiliated high school

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* 2. Phone numbers

Home

School

Mobile

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* 3. Home address

Street

City

State

Zip code

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* 4. School address

Street

City

State

Zip code

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* 5. Special needs (check all that apply)

Dietary/Kosher

Dietary/Vegan

Dietary/Vegetarian

Other (please specify)

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* 6. Programming experience (none required, but understanding our attendees will help us prepare the workshop)

	None	Novice	Intermediate	Advanced
C	C None	C Novice	C Intermediate	C Advanced
C++	C++ None	C++ Novice	C++ Intermediate	C++ Advanced
Java	Java None	Java Novice	Java Intermediate	Java Advanced
Python	Python None	Python Novice	Python Intermediate	Python Advanced

Other (please specify)

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* 7. Courses taught

Computer science

Math

Physics

Chemistry

Biology

Other (please specify)

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* 8. Additional information about the students/courses you teach (e.g., which grade(s), what students struggle with or get excited about, what techniques and technologies you use in the classroom)

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* 1. Attendee

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* 2. Phone numbers

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* 3. Home address

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* 4. School address

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* 5. Special needs (check all that apply)

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* 6. Programming experience (none required, but understanding our attendees will help us prepare the workshop)

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* 7. Courses taught

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* 8. Additional information about the students/courses you teach (e.g., which grade(s), what students struggle with or get excited about, what techniques and technologies you use in the classroom)

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* 9. Tell us a little about yourself, your experience in teaching, and what you'd like to get out of the workshop