ShadowTech Teachers - Mentor Registration
* Required
Organisation Name
*
Your answer
Website URL
*
Your answer
Region you wish to participate in (please complete a separate form per region)
Auckland
Waikato
Tauranga
Rotorua
Palmerston North
Wellington
Christchurch
Dunedin
Other:
Clear selection
Which days/times would you be available to host teachers/career advisors?
Morning (9am - 12pm)
Afternoon (1pm - 4pm)
Monday 22 February
Tuesday 23 February
Wednesday 24 February
Thursday 25 February
Friday 26 February
Morning (9am - 12pm)
Afternoon (1pm - 4pm)
Monday 22 February
Tuesday 23 February
Wednesday 24 February
Thursday 25 February
Friday 26 February
Has your organisation participated in ShadowTech before?
*
Yes
No
Unsure
Key Contact Details
First Name
*
Your answer
Last Name
*
Your answer
Position Title
*
Your answer
Email
*
Your answer
Contact Phone Number
*
Your answer
We are happy for NZTech and our event partners to film and/or take photos of our staff and business during ShadowTech for use in ShadowTech marketing and communications.
*
Yes
No
Any additional comments (optional)
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of New Zealand Technology Industry Association.
Report Abuse
Forms