* = Must enter information into this Field 

Name*
School Name *

Address*
E-Mail Address*
School Phone Number* Home Phone Number*

I teach science at the following levels - Please Select ONE*

Please provide a brief explanation of how this workshop could help you become a better science teacher?*

Please provide a brief description of your current style of teaching science (lecture, interactive, small group, hands-on, collaborative, other, etc)*:

Additional comments:

I am interested in earning the following:
6 CPDU's (free)
1 hour of College credit ($75)