Equity Examined Virtual Half-day Workshop Interest List
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Name of Contact Person
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First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
School or TEP Name
*
School's AMS Member ID (optional)
School or TEP Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Requested Date/Time/of the 4-hour session
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Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Audience - (Admin? Teachers? Program Levels? Etc.)
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Estimated number of participants:
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Will each member have their own device to join the session?
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Yes
No
Would you prefer breakout groups to happen within teams or randomly assigned?
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Teams determined by school
Random groupings
What specific topics would be most relevant to your group?
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Please share what you hope your participants will walk away with. (We could also schedule a Zoom meeting to chat about this if it’s easier for you. Please email Maati@amshq.org.)
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Submit
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