Lesson Study Café Application Form
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Email *
Name *
First and last name
Email *
Affiliation (the institution with which you are currently employed or a doctoral student) *
What theme/topic are you proposing? *
Write a short description of the theme (100 words)
This will be used in the event invitation to the public. 
*
When would you like the event to be? (choose up to 3) *
Required
Other comments/remarks (e.g: a specific date for the event, note to participants)
A copy of your responses will be emailed to the address you provided.
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