REGISTRATION--"ONE COMMUNITY: Empowering Student Voice" (4/5/2017)
April 5, 2017 at Olentangy High School 6:00-8:30 PM (Optional meet and greet with presenters from 8:30-9:00 p.m.)

Theme Description:
In order to achieve ONE COMMUNITY, the 2016-17 equity and inclusion conference event series theme is: "Empowering Student Voice." The most valuable voice in the learning environment is that of our young people. This conference seeks to put student voice in conversation with our district mission: facilitating maximum learning for ALL students. Two stand-alone conference event evenings will feature keynote presentations followed by expert and student facilitated workshops. Across a variety of topics, sessions will focus on the lived experiences of our young adults; how these experiences impact their social, emotional, psychological and academic growth; and how to support them on their path to success.

Please be sure to register for both the February 1st AND April 5th events!

The information requested on this form is for planning purposes only and will be kept confidential. Email addresses will NOT be shared with outside organizations or persons.

1. Last Name *
Your answer
First Name *
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2. Email Address *
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Additional Email Address (optional)
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3. Stakeholder Status: Which best describes your relationship with Olentangy Local Schools? *
4. Which grade level is most relevant to you? *
Check all that apply.
5. Olentangy Schools
If you are a part of the Olentangy community (student, staff or parent), indicate the building(s) in which you are affliated. Check all that apply.
6. Babysitting *
Please indicate if you plan to take advantage of the babysitting services for the evening. Room(s) will be monitored by high school students.
Ages of Children in Babysitting
1-3 years old
4-6 years old
7-10 years old
11 and older
Child 1
Child 2
Child 3
Child 4
7. Accommodations
Please indicate if you will need any special accommodations to fully participate.
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8. How did you find out about these events? *
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