Creating Great Lakes Stewards to Promote Clean Water & Healthy Urban Watersheds in Detroit
A one-year water education professional development and field trip program for 16 Middle School Teachers
(preference given to teams of 2 teachers) from Detroit Schools.

First Name *
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Last Name *
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Email address: *
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Partner Teacher Name (each teacher should register; teams encouraged) - First & Last Name
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Home Mailing Address -Street or PO Box, City, State, zip code *
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Cell or Home Phone with area code *
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Name of School
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School Phone with area code *
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School Address *
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Subjects Taught *
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Grades Taught *
If you answered 'other' above, please describe your target audience
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Please write a short paragraph explaining how your participation will impact your teaching and your students' lives. *
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Please write a short paragraph describing what you hope to gain by participating in this program. *
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Please indicate any special dietary needs for workshop lunches.
I heard about this workshop from:
Please insert your initials below indicating that you agree to have your photograph used for educational or promotional purposes.
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Please insert your initials below indicating that you agree to complete all program requirements.
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Does your principal agree to have your students participate in the 3 field trips, if you are selected to participate? *
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