Leadership Summit Registration
Beaumont, Texas
First Name
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Last Name
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Attendee's Email Address
*
Zipcode
*
Title
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School/Campus
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District
My position is best described as:
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Teacher - (e.g. Classroom Teacher, Professor)
Supervisor - (e.g. Department Head, Curriculum Coordinator, Coach, Specialist)
Administrator - (e.g. Principal, Superintendent, Technology Coordinator)
Student
Parent
Other
Years of teaching experience:
0-5 years
6-10 years
11-20 years
21+ years
N/A
If applicable, please select the grade levels you are responsible for.
K-2
EL 3-5
MG 6-8
HS 9-12
Post-secondary
Subject Area - Select all that apply.
Math
Science
STEM
Coding/Computer Science
Will you attend the afternoon session, Developing Teachers’ STEM Identity in the Math Classroom?
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Yes
No
Dietary restrictions?
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None
Vegetarian
Vegan
Kosher
Other dietary restrictions or accommodations?
* Required Fields
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