2nd Annual Lehman College Winter 2019 STEM Teacher Conference Registration Form

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First Name *

Last Name *

Email Address *

Contact #

Affiliation(s)

Grade level(s) that you are teaching:

Subject(s) that you teach:

Certification(s)

If in a special program please list below:

I plan to attend the conference on the following days: *

Saturday, January 5th 9:30am - 3:30pm

Saturday, January 12th 9:30am - 3:30pm

Both Days

I plan to attend: *

Concurrent Sessions

Workshop: Infusing Debate in Science Classrooms

Both

I plan to attend the Debate Workshop on (Note: The Debate workshop will be repeated on January 5th, 1:00 pm -3:00 pm and on January 12th, 1:00 pm -3:00 pm. There will be an advanced workshop offered on January 12th for individuals who have completed the workshop on January 5th. *

Saturday, January 5, 2019, 1:00pm - 3:30pm

Saturday, January 12, 2019 1:00pm - 3:30pm

Saturday, January 12, 2019; 1:00 - 3:30 p.m. (Advanced Workshop)

Do you plan on applying for Continuing Teacher & Leader Education (CTLE)? For additional information about CTLE credit please visit the following NYS Education website (http://www.highered.nysed.gov/tcert/resteachers/ctle.html) *

Saturday, January 5, 2019: 5.5 CTLE Hours (You must attend the entire day (9:30 a.m.-3:30 p.m.)to receive CTLE hours.)

Saturday, January 12, 2019: 5.5 CTLE Hours (You must attend the entire day (9:30 a.m.-3:30 p.m.)to receive CTLE hours.)

Saturday, January 12, 2019; 1:00 - 3:30 p.m. (Advanced Workshop)5.5 CTLE Hours (You must attend the entire day (9:30 a.m.-3:30 p.m.)to receive CTLE hours.)

Please list workshop(s) that you would like to see sponsored in future conferences sponsored by the STEM Teacher Network

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