We are excited that you'll be joining us! Please complete this registration form to notify us of your plans to participate. We cannot wait to co-create community excellence with you!
(she/her, he/him, they/them, etc.)
If Other, Please List Pronouns Here
Alternate Phone Number
Street Address Line 2
District of Columbia
Which language do you prefer to participate in our Institute?
If you answered "Other", what is your preferred language?
Which school district do you work with?
N/A - Other SPEB Partner
If you answered "N/A - Other SPEB Partner" please list which entity you represent:
What school community are you a part of? (ex: "Bryn Mawr Elementary" or "N/A")
What sessions will you be attending?
I Plan on Attending
I Cannot Attend a
Session at this Time
Whole Group Plenary
Morning Workshop by Focus Area
(10:30a - 12:00p)
Afternoon Workshop by School/District
Whole Group Harvest & Closing
What morning workshop are you most interested in attending?
Engagement, Research, & Evaluation
My Commitment - Cohort Member
I am NOT a Cohort Member
Cohort Member - Fall Only (Nov 21, 2020)
Cohort Member - Winter Only (Jan 16, 2021)
Cohort Member - Spring Only (Mar 27, 2021)
Cohort Member - Summer Only (Jun 5, 2021)
My Commitment - Community Partner
I am NOT a Community Partner
Community Partner - Fall Only (Nov 21, 2020) - $125.00
Community Partner - Winter Only (Jan 16, 2021) - $125.00
Community Partner - Spring Only (Mar 27, 2021) - $125.00
Community Partner - Summer Only (Jun 5, 2021) - $125.00
Community Partner - Full Series - SAVE $200!!! - $399.00
I understand that, as a Cohort Member, I am making a commitment to attend ALL THREE Community Learning Conferences + Graduation, and will contact SPEB to communicate any absences, ahead of time, as soon as I am aware.
I understand that, as a Community Partner, I will be emailed an invoice for the registration costs, and I will contact SPEB to make payment arrangements prior to attending the Community Learning Conferences.
Please contact email@example.com for more information on the Institute Series!
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