Copernicus STEAM Learning Lab's Creative Computing with Scratch - Summer Extension Application Form for Grades 3-8.

First Name *
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Last Name *
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Preferred Email Address *
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Home Mailing Address (#, Street, City, Zip) *
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Preferred Phone Number (xxx-xxx-xxxx) *
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Alternate Phone Number (xxx-xxx-xxxx)
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School or Organization Name *
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School District or Location (City/State) *
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Grade level/s that you teach *
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Please indicate the Creative Computing topics that most interest you. (Check all that apply) *
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Please list the main subject/s or topics that you teach. *
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What do you hope to gain from participation in these workshops? *
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Comments or Questions
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