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South Coast Science Project 2018 Summer Institute Registration Form
Earth and Space Science ~ July 30th to August 3rd 2018, 8:00am to 4:00pm at Peabody Charter Elementary in Santa Barbara. Please view all details on institute flyer before registering.
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Your Street Address and City
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Your answer
Your Zip Code
*
Your answer
Your Phone Number (ex: 805-123-4567)
*
Your answer
School Name (full name, ex: Canalino Elementary School)
*
Your answer
School Location (what city is your school located in?)
*
Your answer
School District (if not listed, select other and specify)
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Carpinteria Unified School District
Conejo Valley School District
Goleta Union School District
Hope School District
Santa Barbara Unified School District
Oxnard School District
Ventura Unified School District
not affiliated with a school district
Other:
Current Grade Level(s) Taught (select all that apply)
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TK
KI
01
02
03
04
05
06
07
08
09
10
11
12
TOSA / out of the classroom not directly working with students
Other:
Required
Grade Level(s) Taught in the Past (select all that apply)
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TK
KI
01
02
03
04
05
06
07
08
09
10
11
12
TOSA / out of the classroom not directly working with students
no other grades taught besides current grade level.
Other:
Required
What is your current comfort level with teaching the NGSS?
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Beginner
1
2
3
4
5
Advanced
Do you have any dietary restrictions?
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No
Vegetarian
Gluten Free
Other:
Required
By checking yes below, I am stating that I have read the flyer information and plan to attend all five days of the institute, July 30th to August 3rd, 8:00am to 4:00pm at Peabody Charter Elementary in Santa Barbara.
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Yes
Other:
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A copy of your responses will be emailed to the address you provided.
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