Webinar Registration Form
Thank you for completing this registration form! This data will help us prepare for the webinar.

You will receive an email and calendar invitation with the zoom details the day before the webinar date. Please note that we close registration for webinars at 4 pm EST the day before the webinar.
Email address (please use the email associated with your ASSISTments account, if you have one) *
What is your first name? *
What is your last name? *
What webinar are you registering for? *
In what state do you teach? *
School district in which you teach (Please spell name in full. For ex: Wake County Public Schools) *
What is your role? *
What grade level(s) do you teach? *
Required
How familiar are you with ASSISTments? *
What Learning Management System are you using with ASSISTments? *
How did you hear about this webinar? *
We seek to serve diverse teachers and students. We greatly appreciate you providing the below data to support us in this endeavor.
Please indicate the racial or ethnic group(s) with which you identify (Please indicate multiple if you identify with more than one race):
To the best of your ability, please indicate what percentage of the students you serve qualify for free or reduced lunch
Clear selection
Are the majority of students you serve (50% or more) Black and/or LatinX students?
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