JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Legislator-Teacher Roundtable
Please fill out this form if you'd be interested in attending or participating in a roundtable with fellow educators to come together to work on strategies to combat the recent attacks on education in Michigan.
Event Details will be provided at a later time.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Are you a K-12 or Higher Education teacher?
*
K-12
Higher Ed (Community College)
Higher Ed (College/University)
Administrator
Other (please specify below)
If you selected other on the last question, please specify here
Your answer
School or District Affiliation
*
Your answer
Where do you live?
*
Your answer
What is your current/recent teaching level (Please select all that apply)
*
Lower Elementary
Upper Elementary
Middle School
High School
Community College
Undergraduate
Graduate
Other (please specify below)
Required
If you answered other on the question above, please specify here
Your answer
Please share what subjects you currently teach or have taught or other content areas that may be relevant to our work together (e.g. History, Mathematics, ELA, Science, CTE.)
*
Your answer
Which issue facing education would you most like to discuss?
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
