EDAD 536 - Contact Information

For use during the Summer 2013 course.
Instructor: Todd Frimoth
tfrimoth@lclark.edu

What is your preferred first and last name?

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What is your preferred email address?

Please check that you've typed it out correctly.

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What is a secondary email address?

Not necessary, but helpful just in case.

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Preferred Phone Number

Home, Office, Cell

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Secondary Phone Number

Again, not necessary, but helpful.

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Other contact information

(Optional) Facebook, Twitter, Skype, etc.

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What is the school district or organization you're associated with currently?

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What is the role you have in your school or organization?

Feel free to elaborate a bit on your role.

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How many years have you been a professional in education?

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What was your high school team mascot?

Just checking to see if you got to the bottom of this survey!

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