Classroom Management Book Study Registration
Last Name *
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First Name *
Your answer
School/Work Location *
Your answer
Job Title *
Official Job Title
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Work Email *
Work Email Address
Your answer
Are you instructional or non-instructional personnel *
For MIP reporting
Grade Taught *
Type in the grade or grades you teach
Your answer
Are you ESE or Gen Ed? *
Do you work with ESE students?
Required
Home Email Address *
In case we have additional information/changes about course/location.
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Cell Phone *
In case we need to get in touch with you over the summer.- Example: (352) 386-0999
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What do you hope to learn from taking this course? *
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