Registration Saturday Series 2022-23

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As a publicly-funded organization, we are required to collect information on both the programs we offer and the people who attend those programs. In addition, we collect data in order to continually improve our service to California schools, teachers, and students through research, classroom practice and ongoing curriculum development. CSMP will not sell your data to any outside vendor. Thank you for taking the time to provide your information below.

First name *

Last name *

Select the number that corresponds to your gender identity. Select a number 1-3 or 9

1. Female

2. Male

3. Another gender

9. Decline to state

Clear selection

Select the ethnicity descriptor that you feel best describes you. Choose 1, 0, or 9

1. Hispanic or Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture)

0. Not Hispanic or Latino

9. Prefer not to say

Select the number that best describes your identity and background. Each number corresponds to a specific group/identity. Select the number 1-7 or 9 that correlates with your identity.

1. African American or Black (A person having origins in any of the black racial groups of Africa.)

2. American Indian or Alaska Native (A person having origins in any of the original peoples of North and South America, including Central America, and who maintains tribal affiliation or community attachment)

3. Asian (A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.)

4. Native Hawaiian or Other Pacific Islander (A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.)

5. White/Southwest Asian and North African (A persoon having origins in any of the original peoples of Europe, the Middle East, or North Africa.)

6. Two or more

7 Other (not listed)

9. Prefer not to state

Select the number which indicates the total number of years you have taught as a credentialed TK-12 teacher. Select a number 1-5 or 9.

1. 0-5 years

2. 6-10 years

3. 11-15 years

4. 16-20 years

5. 21 or more years

9. Prefer not to state

Primary email *

Alternate email

Home zip code *

School name *

Select the number 1-9 that best describes your current role in education.

1. Teacher/TOSAs

2. Counselor/County Office of Education Staff/School Staff

3. School/District Administrator

4. Pre-service Teacher (e.g., a student in a teacher-education program)

5. University Administrator/Faculty

6. Community Member

7. Parents

8. Other

9. Prefer not to say

Clear selection

Select the grade band that best describes what level you currently teach. Select a number 1-5 or 9 *

1. TK-2

2. 3-5

3. 6-8

4. 9-12

5. Other

9. Prefer not to state

Phone number

I am registering for: *

Late Registration for Full Series (11/5; 1/28; 3/11; 5/6) registration after 10/29

I am only signing up for single events

Option 1

Clear selection

I plan to attend single events. I will attend the following events (select all that apply)

January 28, 2023

March 11, 2023

May 6, 2023

I agree to the UC Davis Math Project Participation Policy *

I agree

Required

Credit Card Purchase

If you are using a credit card to pay for your registration, click the link below. This will open a new window for you to pay for the registration.

Please remember return to this page and click submit at the bottom of this form to complete your registration. If you do not click submit you may not be registered

Online Credit Card Payment here

District Purchase Order. School Purchase Order (provide an approved purchase order via email dazaragoza@ucdavis.edu)

Submit

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