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UMS Teacher Workshop Registration Form
Fill out this form to request to register for a teacher workshop. You'll receive an email confirmation from UMS.
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* Indicates required question
Workshop Title
*
1/9: Workshop: Creating Stories in the Classroom
2/11: Teacher Drop-In: Latin Rhythms
2/27: Reading Culture Book Club: White Tiger by Aravind Adiga
4/3: Reading Culture Book Club: Quiet by Susan Cain
Required
Educator’s Full Name
*
Your answer
School
*
Your answer
School District
*
Your answer
School Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
School Phone
*
Your answer
School Fax
*
Your answer
Educator’s E-mail Address
*
Your answer
Would you like to receive e-news about UMS K-12 Community programs?
*
Yes
No, thanks
Required
Does you have special needs (ie. wheelchair accessibility, vision/hearing impaired, etc.)?
Your answer
Other requests?
Your answer
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