Masterclass Orientations 2016

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Please fill this form out as completely as you can. To learn more about Masterclass Orientations, please go to: https://quarknet.i2u2.org/content/orientation-2015. Please fill this form out at least one week prior to the earliest of your preferred dates.

Masterclass Institute

Name of institution

Location

City, State/Province, Country

Form submitted by:

E-mail address:

Your status in the masterclass institute:

Check all that apply

QuarkNet mentor

Masterclass mentor or tutor

QuarkNet staff

QuarkNet fellow

Teacher

Other:

Form of orientation:

Masterclass Orientation (3-6 hr for new institutes)

Orientation Update (1-2 hr for experienced institutes)

Other:

Clear selection

First choice date (any day Jan 16-Feb 20) and local start time

include time zone

Second choice date (any day Jan 16-Feb 20) and local start time

include time zone

Additional information, if any:

Submit

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