Email Address (Please make sure this is an email address you will have access to over the summer.) *
Your answer
Phone *
Your answer
Mailing Address Line 1 *
Your answer
Mailing Address City, State and ZIP Code *
Your answer
What is your role? *
If you are an educator, please indicate the grade you currently teach:
If you are an educator, approximately how many students did you teach this past school year?
Your answer
If you are an educator, approximately what percentage of your students are Alaska Native? We thank you for your response as we work to collect this information for grant writing and reporting purposes.
Clear selection
In what community or communities do you work? *
Your answer
Are you employed by one of the following school districts and would you like to be contacted regarding travel/lodging stipends and support? *
Juneau School District
Hydaburg City School District
Klawock City School District
Craig City School District
Southeast Island School District
Is this the first Culturally Responsive Education Conference that you have attended? *
What is your primary reason for attending this conference? What do you hope to come away with? *
Your answer
A copy of your responses will be emailed to the address you provided.