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Section 1 of 3
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Section 2 of 3
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Full Day
ONLY Session 1
ONLY Session 1 & 2
ONLY Session 2 & 3
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Yes
No
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Yes
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Not sure but would like more details
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Section 3 of 3
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What is the name of your high school?
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Name(s) of teacher contact(s) at school
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Teacher(s) contact email:
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Teacher(s) contact phone number(s):
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How many chaperones will be attending the summit? If you can, please list their names below.
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Does your school have an established human rights class or related program? Please give a brief description below.
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Please answer the following questions in a brief paragraph below: 1) Why do you want to have your students participate in the CT Human Rights & Youth Action Summit? 2) How do you hope to connect this back to your classroom or professional practice?
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Student Participation
Please indicate which parts of the day your students will be participating in (See above description for guidance)
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Please give us a realistic estimate of how many students you would like to bring to the Summit.
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We are offering school based research support & mentorship to your students via organizational partners & collegiate students throughout the semester. Would you be interested in this opportunity? (We will follow up individually if you answer YES)
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Do you need financial aid for transportation?
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Do you need any other accommodations (including but not limited to specific handicap accessibility, ASL equipment etc.)
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School Agreement Form
We, teachers, agree to participate in a monthly conference call, to be during the first week of each month. The purpose of this conference call is to provide regular updates to schools, check-in on progress of research, and ensure everyone is receiving the support and resources needed to be successful.
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We, teachers, agree to ensure our students meet all deadlines and turn in registration forms on time, and agree to the terms set forth in the "Participating Schools Expectations" document.
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We, teachers, agree to communicate by email or phone with Summit Co-Chairs if there is a change in registration, schools are in need of additional resources, or participation in the summit is no longer possible
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