Hill Learning Center Professional Development Scholarship/Registration Form
Thank you for your interest in professional development with the Hill Learning Center. We may have partial scholarships available for North Carolina public school teachers. We will let you know if a partial scholarship is available for the workshop that you've selected below. The remaining balance will need to be paid before you can be registered for the training. If you have any questions, please contact Pam Hoggard, Professional Learning Coordinator, at
School District and/or County
Work Street Address
Teaching Assignment (check all that apply)
Home Street Address
I'm interested in attending...
October 7-8, 2020 - HillMath Live Webinars
Workshop Balance Payment Source
I will pay the balance myself and will call Pam at 919-719-7551 with a credit card.
Please send an invoice to my administration, see information below.
Invoice Information (name and email)
Diversity, Equity, and Inclusion Questions
Hill Learning Center is collecting the following data in order to assess our commitment to diversity, equity, and inclusion. Your responses will impact our efforts to ensure that we are reaching a diverse population of learners. No identifying personal information will be shared outside of our organization.
Do you work in a Title I school?
Approximately what percentage of students in your school qualify for free/reduced price lunch?
Less than 20%
60% or more
I don't know
How do you describe yourself? (check all that apply)
American Indian or Alaska Native
Black or African American
Caucasian or White
Native Hawaiian or Other Pacific Islander
Prefer not to answer
Never submit passwords through Google Forms.
This form was created inside of Hill Learning Center.