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Teacher Orientation and Training Registration
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* Indicates required question
Date & Location of Training:
*
Your answer
Training Type:
*
Out of School Time Energy Program (OSTEP)
PEAK Jr. (K-2nd)
PEAK (3rd-8th)
PEAK 3-D (3rd - 5th, NGSS)
Other:
First Name:
*
Your answer
Last Name:
*
Your answer
Home/Mobile Phone:
*
Your answer
Email Address:
*
Your answer
School District:
*
Your answer
School Name and Address:
*
Your answer
Grade(s) you teach:
*
Your answer
Number of Students:
*
Your answer
Are you currently participating in other educational programs offered by a utility or municipal provider?
*
No
Yes
Not sure
If yes, please describe.
Your answer
How did you hear about PEAK?
*
Another PEAK Teacher
Marketing Email
Marketing Flyer
School science coordinator
School District
STEM or other educational conference
Other:
If referred by another PEAK Teacher, please provide his/her name.
Your answer
Please describe any past experience/interest the school has had implementing service-learning or environmental education programs
*
Your answer
What do you hope the PEAK Student Energy Actions program will bring to your school site?
*
Your answer
Do you prefer a vegetarian meal at the training?
*
Please list any food allergies under other.
No
Yes
Other:
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