StartEdUp Power Hour
The information in this form will help us to give you the most effective Power Hour experience possible. Filling out this form will register you.
Email address *
Personal Information
This section will help us figure out who you are and how we can better help you reach your goals
First Name *
Your answer
Last Name *
Your answer
Name of your School and District (or other institution) *
Your answer
Where is your School/District (or other institution) located? *
Your answer
What is your job position/involvement with this organization? *
Your answer
If you have a preferred method of contact (other than email), please list it here
Your answer
Your Situation
This section will help us to better understand the circumstances you're under and help you to match your goals to the quickest routes of progress.
Which of these best describes your needs? *
Which of these best describes your circumstances? *
(If applicable) What grade levels do you teach/will this program work with?
Your answer
What are the goals you have for your program and any major questions you hope to have answered? *
Your answer
Are there any other special circumstances would you like us to know about?
Your answer
If you have a Twitter (personal or classroom), please list it here
Your answer
If you have another social media account (where you share information about your students/innovation), please list it here
Your answer
A copy of your responses will be emailed to the address you provided.
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