California Atlas Workshop

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Thank you for your interest in the 4th Grade California Atlas Workshop. The workshop will take place Saturday, November 16th, from 9 am -12:00 p.m. at Vista Heritage Global Academy, 2609 W Fifth St., Santa Ana, CA, 92703. Parking is free on campus. Follow the signage to the classroom where the workshop will be held.

First name *

Last name *

School issued email *

Alternative email. Your school email system may filter our emails as spam. This ensures you receive our emails. We do not share your emails with other organizations. *

Zip code of your home address (required by our funding agency) *

What is your educational affiliation?

Teacher/TOSA

Counselor/County Office of Education Staff/School Staff

School/District Administrator

Pre-service Teacher

University Administrator/Faculty

Community Member

Parents

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Grades teaching for 2022-23 *

PK-2nd

3rd-6th

7th-8th

9th-12th

Other:

Required

Subject(s) taught *

Level of experience

0-5 years

6-10 years

11-15 years

16-20 years

21 or more years teaching experience

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School *

What is your school's CDS code? You can find your school's CDS code by searching the CDE School Directory. We need this information for funding and reporting purposes.

School District *

County school is in (e.g. Santa Barbara, Orange, Riverside) *

The following questions are requested by our funding agency. We apologize for the wording of the questions. If you prefer not to answer these questions, please leave them blank.

Gender

Female

Male

Another Gender

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Ethnicity

Hispanic or Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race)

Not Hispanic or Latino

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Race

African American or Black (A person having origins in any of the black racial groups of Africa.)

American Indian or Alaska Native (A person having origins in any of the original peoples of North and South America, including Central America, and who maintains tribal affiliation or community attachment)

Asian (A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.)

Native Hawaiian or Other Pacific Islander (A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.)

White/Southwest Asian and North African (A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.)

Two or More

Other not listed above

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Thank you for registering. We will confirm your registration shortly. If you have any questions, please email [your email]

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