Digital Pedagogy and Global Competence Course Registration
To register for the Digital Pedagogy and Global Competence course, complete the form below and submit payment via Paypal (link at the bottom of the form). Registration is not complete until payment has been received. Limited seats are available on a first-come, first-served basis. You will receive confirmation of your enrollment by email a few weeks before the start of the class.

For more information on registering for the GCC course below, please visit http://globalcompetencecertificate.org/course-registration/.

If you have questions while completing the form below, please contact registration@globalcompetencecertificate.org.

Register for Digital Pedagogy and Global Competence course (02/04/19 - 03/31/19 with sync sessions on Wednesdays, 7:00pm-8:30pm ET)? *
First Name: *
Your answer
Last Name *
Your answer
Title/Position: *
Your answer
Organization *
Your answer
Phone Number: *
Your answer
Email Address: *
Your answer
Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip/Postal Code: *
Your answer
Type of Position: *
Subject Area Expertise: *
Check all that apply.
Required
Grade Level Expertise: *
Check all that apply.
Required
How many students do you serve on an annual basis? *
Your answer
If you work in a school or district, please indicate the type below:
If you work in a school, what percentage of the students at your school qualify for free or reduced lunch?
Your answer
How would you describe the area where you teach/work? *
Do you have a teaching credential? *
If you answered yes, please indicate the type of credential you hold.
Your answer
How many years of teaching experience do you have? *
Your answer
What language is primarily spoken in your home? *
If English is not your primary language, please indicate your proficiency in spoken English.
List languages you speak in addition to English, indicating your proficiency. For example: "Spanish (advanced), French (basic)". Please note that proficiency in a second language is not a prerequisite for participation in a course.
Your answer
Have you participated in a GCC course prior to this one? *
Group Name: If you are participating in this course as part of a group, please provide the group name:
Your answer
How did you hear about this course? *
Your answer
Refund Policy: World Savvy will provide a full refund of the course fee if a written request to withdraw is received more than 14 days prior to the first day of the class. Given the demand for this program and the work entailed in its preparation, if the request to withdraw is received within 14 days prior to the first day of class, a 50% refund will be issued. Registrants who do not submit a written withdrawal request prior to the first day of class will be liable for the full fee, and no refunds will be issued. *
Have you completed your course fee payment in Paypal? *
Your course registration will not be complete until you have paid the GCC course fee. Click on this link to make your payment via Paypal: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=5NJ37K9X9CAVN Do not submit your credit card info via Google Forms. When you are finished, return to this form, click yes below, and submit the form to complete your registration.
Submit
Never submit passwords through Google Forms.
This form was created inside of World Savvy. Report Abuse - Terms of Service