Hagen Teacher's Lab Online

Hagen Teacher's Lab Online - AUDIT REQUEST - December 2020

Please fill out the requested information below. Your submission will be reviewed and you will be notified if you have been approved to audit this program. Requests are accepted on a rolling basis. You are permitted to audit up to two (2) days of the Lab. The Lab will run Mon, Wed, Fri & Sun, December 14, 16, 18 & 20, from 10AM-4PM each day.
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail *
Pronouns (he/him, she/her, they/them, etc.) *
School affiliation and position *
Reason for auditing *

Please select which date(s) you would like to audit. If you select more than two, we will do our best to accommodate your two top choices. *

Mon, Dec 14

Wed, Dec 16

Fri, Dec 18

Sun, Dec 20

First Choice

Second Choice

Third Choice

Fourth Choice

We will notify you as soon as possible with a follow up from your audit request.
Reviewer's Email
Should be Empty:

Hagen Teacher's Lab Online - AUDIT REQUEST - December 2020