UCLA AP Readiness Educator Registration 2018-2019
Please complete this form in order to participate in the 2018-19 UCLA AP Readiness STEM or HUMANITIES Program. Updates and Event Information will be sent to the e-mail address you indicate in this form.
First Name *
Your answer
Last Name *
Your answer
School Name *
Your answer
AP Readiness Stem Subject you wish to attend (Skip if you are attending the HUMANITIES Program):
AP Readiness HUMANITIES Subject you wish to attend (Skip if you are attending the STEM Program):
Preferred E-Mail Address *
Your answer
Primary Phone Number *
Your answer
Alternate Phone Number
Your answer
Years Teaching
Your answer
Years Teaching AP
Your answer
Have you attended AP Readiness in previous years?
Teaching Credential (s) you possess
Your answer
Classes you currently teach
Your answer
Employee # (LAUSD Employees ONLY)
Your answer
Gender
Background
Do you plan to attend AP Readiness with your students?
Do you plan to ride the bus with your students if one is provided?
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