IAEA Design Interest Group

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Membership Form

Last Name *

First Name *

Which of the following best describes your profession? *

Elementary Teacher

Middle School Teacher

High School Teacher

School or District Administrator

College or University Educator

Museum Educator

Which IAEA Region do you belong to? *

Northwest Region

Northeast Region

Central Region

Southern Region

Which of the following describes your professional location within the region? *

Chicago Public Schools (CPS)

Suburban School District

Rural School District

Charter or Montessori School

Other:

Name of the School, District or Museum where you work? (Name and District # if applicable) *

How did you hear about the IAEA Design Interest Group? *

IAEA Website

IAEA Webinar

IAEA Social Media

IAEA Publication

State Conference

IAEA Regional Professional Development Event

IAEA Regional Social Event

Colleague

Other:

Which of the following describes your level of knowledge or experience with design, the design process or design thinking? *

Basic Understanding + Minimal Experience

Moderate Understanding + Some Experience

Deep Understanding + Much Experience

Design Expert + Current Teacher or Leader in Design Education

Which of the following describes your PRIMARY interest in joining this group?

Engage with a Professional Community

Personal Growth or Development

Share General Knowledge or Experience with a Professional Group

Provide Professional Development to the Group via Workshops or Webinars

Facilitate or Participate in Design Challenges

Become a Design Education Leader for IAEA

All of the Above

Other:

Clear selection

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This form was created inside of Illinois Art Education Association.