Workshop Submission

E3 Workshop Registration Form

Thanks for your interest in our workshops. To ensure a successful workshop we ask you to fill out the following information. This form is editable and if you can't complete it you can save it and come back to it. Also if you do not get approval for some reason you can alter the form an resubmit.
Criteria for approval:

Dates will be approved on first come first served basis. We need to ensure as much equity as possible so we will limit workshops based on division need.
Teacher Name*

First NameLast Name
Your Mobile Phone Number*
Please enter a valid phone number.
Your School Email
example@example.com
School Division*
Please select your School
Please select your School
Please select your School
Please select your School
Please select your School
Please select your School
Please select your School
What is your school Principal's Name*

First NameLast Name
What is your school Admin Support's Name

First NameLast Name
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Phone Number*
Please enter a valid phone number.
Number of students you are bringing?*
What grade(s) are you bringing?*

Grade 7Grade 8Grade 9
Do any staff or students have specific needs that require special arrangements?
Wheelchair, hearing impaired etc...
What is the driving distance in km from your bus pick up location to Lethbridge Polytechnic or the proposed meeting location according to Google Maps?*
Km
What is the suggested drive time time from your bus pick up location to Lethbridge Polytechnic or the proposed meeting location according to Google Maps?*
Hour.Minutes for example, 1.15 for 1hour and 15 minutes
What is your schools start time?*

Hour Minutes

AM/PM Option
What is your schools dismissal time?*

Hour Minutes

AM/PM Option
Appointment

When selecting a date for your appointment you will only be able to select from the available dates remaining. Select the start time at which you plan to arrive at the E3 Workshop -- not when you plan on leaving your school.
Will you require transportation?*

YesNo
Appointment (if we are booking the transportation estimate what time you will arrive - we will confirm once transportation is booked)
What date would you like a reminder email sent to you?*

MonthDayYear
Date
What two areas of interest do you want to cover?*

AgricultureHealth CareTrades
Will you require a parking pass? (If yes, how many?)*
Select your Division Learning Director/Deputy Superintendent*
Share any information you would like to share about your submission here.*
Should be Empty:

E3 Workshop Registration Form

Criteria for approval:

Appointment