2021 Resilient Careers: Explore Your Future in Health & Biotech - Interest Form for Educators
***This form is for EDUCATORS (MS/HS) ONLY. If you are a student, please do not complete this form. Discuss the possibility of attending this event with a teacher.***

Hello educators! Thank you for your interest in this event. Please complete all fields below. Priority will be given to schools in San Diego and Imperial Counties. Submitting your information below does NOT guarantee admittance. You will receive a confirmation email if your students are accepted. The deadline to complete this form is April 14. Please email registration questions to Alexander.Becker@sdcoe.net. For more information visit https://cte.innovatesd.org/healthandbiotech.html. Thank you!

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Email *
School Name *
School District *
City *
State *
Educator First Name *
Educator Last Name *
Educator Title *
Educator Cell Phone Number *
Site Admin First Name *
Site Admin Last Name *
Site Admin Email *
Career Pathway/Academy Name(s) (if applicable) *
Course/Class Name(s) *
Number of Students *
Student Grade Level(s) (grades 8-12 only; 18 years old and younger) *
Required
Questions? Comments?
A copy of your responses will be emailed to the address you provided.
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