Position and Grade (please include what subjects you teach if not general ed) *
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Contact info (email and phone number) *
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How did you hear about us? *
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Why are you interested in attending this workshop? *
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Scholarship amount requested. Please explain why you are making this request. (Please note that scholarships are awarded on an “as needs” basis. We appreciate any amount that you are able to contribute towards the fees of the workshop.) *