25-26 Early Career Educator Series Registration

Full Name*

First NameLast Name
Cell Phone Number*

Area CodePhone Number
Professional E-mail*
example@example.com
Personal E-mail*
example@example.com
What is your preferred email for future contact?*

Professional EmailPersonal Email
Mailing/Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Ethnicity*

American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Pacific IslanderWhite or CaucasianChose Not to RespondOther
Are you an NEA-NM member?*

YesNo
If yes, please select the Local Affiliate to which you belong.
In what County do you work? *
Which of the following best describes your primary role or education context?*
In what School District do you work? *
At what School Site do you work? *
What grade level band do you serve?*

PK-33-56-89-12Other
If you teach a specific content area, what content area do you teach?*
How many years have you been in the education field?*
Where did you hear about this virtual event?*

FacebookTwitterLocal Association LeadershipOnline AdsInstagramSearch EngineReferralOther
What (other) learning events would you be interested in attending either virtually or in person?*

WebinarsPodcastsEquity Focused Professional LearningCulturally and Linguistically Relevant Pedagogy Professional LearningCommunity Assessment Professional LearningEarly Career Educator Focused Professional LearningSEL Professional LearningNEA NM Leadership Focused Professional LearningOther
Session Selection: Please select the session/s that you are interested in attending.*

Workshop #1: Saturday, October 18, 2025Workshop #2: Saturday, January 10, 2026Workshop #3: Saturday, April 18, 2026I want to attend all 3 workshops!
Session Selection: Please select the workshop location that you are interested in attending.*

Alamogordo (in-person)Farmington (in-person)Las Cruces (in-person)Raton (in-person)Santa Fe (in-person)Virtual option (via Zoom)
Any questions or comments?
Any allergies or dietary requests? (for in-person sessions)
Should be Empty: