Our Cultural Landscape
Culturally Responsive Education Conference 2017 Registration Form
Email address
Name, as it will appear on your conference badge
Your answer
Employer/Affiliation, as it will appear on your conference badge
Your answer
What is your role?
If you are an educator, please indicate the grade you currently teach :
If you are an educator, approximately how many students did you teach in 2016-17?
Your answer
If you are an educator, approximately what percentage of your students are Alaska Native?
In what community do you reside?
Your answer
Email Address
Your answer
Phone Number
Your answer
Which days will you attend?
Required
Will you be registering for the ED 593 Continuing Education credit? (You can do this on the first day of the conference - there is a $50 fee for the credit.)
How familiar are you with culturally responsive education?
What is your primary reason for attending this conference? What do you hope to come away with?
Your answer
A copy of your responses will be emailed to the address you provided.
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