Teacher Orientation and Training Registration
Date & Location of Training: *
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Training Type: *
First Name: *
Your answer
Last Name: *
Your answer
Home/Mobile Phone: *
Your answer
Email Address: *
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School District: *
Your answer
School Name and Address: *
Your answer
Grade(s) you teach: *
Your answer
Number of Students: *
Your answer
Are you currently participating in other educational programs offered by a utility or municipal provider? *
If yes, please describe.
Your answer
How did you hear about PEAK? *
If referred by another PEAK Teacher, please provide his/her name.
Your answer
Please describe any past experience/interest the school has had implementing service-learning or environmental education programs *
Your answer
What do you hope the PEAK Student Energy Actions program will bring to your school site? *
Your answer
Do you prefer a vegetarian meal at the training? *
Please list any food allergies under other.
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