April MS Student Dialogues Registration Form

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Registration form for GEBG's April Middle School Student Dialogue: Innovative Solutions in Sustainability

April 24, 1-2PM Pacific // 4-5PM Eastern // 9-10PM Central European

*There will be at least one supervising adult in each breakout discussion room.*

**Make sure you have collected names and email addresses for the faculty participant/s and all student participants grade levels before completing this form.**

***If you have any questions, or need assistance, please contact Florence Pi at fpi@gebg.org.***

Your First Name *

Your Last Name *

Your School/Work Email *

Job Title *

School Name *

School City
*

School State/Province/Etc
*

School Country
*

Will you or your faculty member attend the optional “faculty lounge,” taking place 30 minutes prior to each student dialogue for faculty participants who might want to connect and discuss virtual exchanges and partnership possibilities?

Yes

Clear selection

Are you the only participating adult from your school?
*

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