JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Using Gizmos Attendance Sign-in April 2, 2022
Please fill out this form. The information we're asking for is required by the state of California and allows us to apply for and receive grants to pay for programs like this.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First name
*
Your answer
Middle name
Your answer
Last name
*
Your answer
Suffix
Your answer
Gender
*
Female (1)
Male (2)
Another gender (3)
Unknown/Unavailable/Decline to State (9)
Other:
Ethnicity
*
African American/Black (1)
American-Indian/Alaskan Native (2)
Chicanx/Latinx (3)
Asian (4)
Pacific Islander (includes Native Hawaiian, Micronesian, Polynesian, and other Pacific Islanders) (5)
White/Southwest Asian and North African (6)
More than one (7)
Unknown/Unavailable/Decline to State/Value not collected (9)
Other:
First academic year teaching
*
Your answer
Email
*
Your answer
School
*
If you know your CDS code, please list that as well.
Your answer
The workshop is
*
Virtual (3)
Hybrid (2)
In-Person (1)
Unknown/Unavailable/Decline to State/Value not collected (9)
I am a
Teacher (1)
Counselor/School Staff (2)
School/District Administrator (3)
Pre-service Teacher (4)
University Administrator/Faculty (5)
Community Member (6)
Unknown/Unavailable/Decline to State/Value not collected (9)
Clear selection
Date of participation
*
MM
/
DD
/
YYYY
Comments
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
