Professional Learning Registration: Fall 2018
**Please note that this form works best with Google Chrome**

Thank you for signing up for a professional learning opportunity. After submitting your information, you will receive an e-mail confirmation of your registration.

Professional Learning Session: *
If this field is blank, your session is FULL. Please do not change the selection, you will not be registered for your desired PL.
First Name: *
Your answer
Last Name: *
Your answer
Email: *
Please use your DOE e-mail address and type carefully to ensure you receive an e-mail confirmation.
Your answer
DBN *
Grade Level *
Please check the grade level(s) of the students that you teach, support, or supervise. Please check all that apply.
Required
Subject Area / Role *
Please check the subject area(s) or roles that best describe your position in the school. Please check all that apply.
Required
Number of Years in Role:
Please give the number of years in your current role (Teacher, Para, etc)
Your answer
Cell Phone Number:
In case we need to contact you in the event of a cancellation or other emergency
Your answer
What is one thing that you hope to learn or gain from attending this Professional Learning Opportunity? *
Your answer
What is your current comfort level, knowledge, and/or ability with this topic? *
This will better help us to better plan our offering.
Not comfortable / knowledgeable at all
Extremely comfortable / knowledgeable
Questions or comments for us:
Your answer
If available, would you like to receive CTLE certification hours for attending this PL? *
Please refer to the individual posting for every offering to see if it is eligible for CTLE hours. Checking "yes" only indicates that you are interested, and does not guarantee eligibility. For more information about CTLE hours, please see: http://www.highered.nysed.gov/tcert/resteachers/ctle.html
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