Registration: 2019 Symposium of Women Educational Leaders
Please complete the form below in order to process your registration for the 2019 Symposium of Women Educational Leaders. We look forward to seeing you! Please note that registration will be capped at 175 participants. After completing the form below, please send a check to MASSP in the amount of $125 at 2 Pine Tree Dr Suite 380, Arden Hills, MN 55112
Email address *
Please list your LAST name *
Your answer
Please list your FIRST name *
Your answer
Please list the full name (and district number, if relevant) of your district or organization. (**If you are representing yourself at SWEL, feel free to write "Myself.") *
Your answer
Please list the address of your district or organization. *
Your answer
Please list the phone number of your district or organization. *
Your answer
Which of the following best describes your workplace? *
On my name badge, how would you like your name listed (preferred name)? *
Your answer
On your name badge, how would you like to be designated? *
What do you hope to gain from this year's SWEL (check all that apply)? *
Required
Which of the below describes your feelings about your current professional position? (*Individual data will not be shared.)
Please describe how you would like SWEL to help you with your career during the next 5-10 years.
Your answer
This is your ___ year in attendance at SWEL. *
Please describe any dietary restrictions as specifically as possible so we can accommodate them (i.e. - vegetarian, vegan, gluten-free, peanut allergy, etc.). If you have none, please write NONE. *
Your answer
If you require special accommodations to attend, please let us know how SWEL can support you:
Your answer
How did you learn about the 2019 SWEL? *
Please respond to this prompt: I believe women educational leaders are empowered when:
Your answer
Please respond to this prompt: I empower other women educational leaders by:
Your answer
What does the SWEL theme "We are the ones we are waiting for" mean to you?
Your answer
What ideas do you have for SWEL activities to engage more men in the work of empowering women educational leaders?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Creatively Focused, LLC. Report Abuse - Terms of Service