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 phoggard@hillcenter.org or 919-719-7551.
Title
First Name *
Last Name *
Badge Name/Nickname
School District and/or County *
School/Organization *
Work Street Address
Work City
Work State
Work Zip
Work Email *
Work Phone
Teaching Assignment (check all that apply)
Grade Level
Content Area
Home Street Address
Home City
Home State
Home Zip
Personal Email
Home/Cell Phone
I'm interested in attending... *
Workshop Balance Payment Source *
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? *
How do you describe yourself? (check all that apply) *
Required
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