Teaching STEM in HSIs Mini-Course: Registration
This form indicates your commitment to register for the upcoming Teaching STEM in HSIs Mini-Course. In order to accommodate as many faculty as possible, the course is being offered either as a Winter Intensive: January 12-14, 2021 or Fridays in Spring: Feb 5, 19, March 5, 19, and April 2, 16, 2021. In your registration select which course you will attend. We cannot allow changes to your option as this course is small and we expect both to fill quickly.

Event Address: The workshops will be held live on Zoom. The password and link will be sent one week prior to start date of event. Please use an email address below that allows us to contact you over Winter break.

Limited Space: In order to keep the course as interactive as possible, each course will be limited to 25 participants. If the course fills, you will be placed on a waitlist and notified that you are on a waitlist. The waitlist will be opened on January 4 when registration closes.

Contact us at escalaeducation@gmail.com for questions or changes to your registration.
Email address *
Cancellation Policy: This is a small program and seats are limited. Registration closes on Jan 4, 2021 and after that no changes may be made to your registration. No refunds will be issued to colleges if you cancel after Jan 4--instead your college must send another person in your place. Please contact your Title V director or other funding source at your institution if you must cancel, as well as our organization. *
First Name *
Last Name *
Cell Phone (we will text one reminder prior to event)
Your Institution Name (please use full name i.e., California State University Los Angeles) *
Which session are you registering for? (Pick only one) *
Who is funding your registration? We will invoice this person on Jan 4. If you are paying for yourself, please write in your own name. *
What is your academic discipline? (ie, Math, Physics, Mechanical Engineering) *
Please help us get to know you better! Tell us something about the courses you teach, how large/small they are, and why are you coming to this program. *
A copy of your responses will be emailed to the address you provided.
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