Teaching STEM in HSIs Mini-Course Registration: Winter 2023 (Self-Paced)
This form indicates your commitment to attend our Teaching STEM in Hispanic Serving Institutions Mini-Course.  Please read through the following so that you fully understand the attendance and time commitment for this course before registering.

Requirements: The STEM course is split into 6 modules: Each module is fully asynchronous with interactive videos, discussion boards, and a learning assignment called an equity Exercise. The Equity Exercises require you to analyze your course materials and create changes to improve your course environment for Latinx students to succeed. Plan about 45 min-1 hour of your time each week to complete these exercises. A Certificate of Completion can be earned by completing each module and submitting all 6 weekly  assignments.

Course Cost:
The cost of this course is $1,800 per person. Payment can be made via credit card or through an invoice/purchase order to your organization. Payment will be due in full prior to the start date on January 9.

Registration Confirmation: Once you register, please allow us a few days to confirm your registration and send you a confirmation email and your Canvas course registration. We are a small company so nothing is automated. We read each and every registration to get to know you better.

Contact/Changes to Registration: Please contact us at programs.escala@gmail.com if you have any questions, if you need to make changes to your registration, or cancel.  No registration refunds will be made after December 16, 2022.
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Email *
Please write in an email that you will check regularly throughout the winter/spring (you will receive to this email a Canvas Course invitation and welcome emails from programs.escala@gmail.com). If email address is same as above, state "same." *
First Name *
Last Name *
What is a textable phone number we can use to send you a reminder one day prior to the start of the course?
What is the name of your institution? (please write out the full name i.e., "California State University Los Angeles") *
Please indicate below who is paying for your registration: their first and last name, title, and their institutional email. If you are paying for yourself, please write in your own name. Payment invoices will be issued to your institution (or to you, if you indicated yourself) December 16, 2022. *
Will payment be via PayPal or an Invoice? *
Invoices will start going out on December 19, 2022. 
What is your STEM discipline? (ie, Math, Physics, Mechanical Engineering, etc.) *
Please share something about your experiences as a STEM instructor. For example, how long have you been teaching?  What types of courses do you typically teach? *
What is something you'd like to learn more about in order to be more culturally responsive to your Latinx/Hispanic students in your courses? *
What other professional development have you attended related to increasing equity, diversity, or inclusive practices in STEM? Check all that apply. *
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Please use the space below to alert us to any concerns you have about interacting with Canvas. If none, leave blank.
Do you have any questions about the course we can answer for you now? Please write them here (or leave blank if no questions).
Please read and acknowledge our ESCALA Course Cancellation Policy: This is a small program and seats are limited.  Registration period ends Friday, December 16, 2022 (or until course is full). After Monday, December 19, 2022 no changes may be made to your registration. No shows will still be charged to your college's invoice unless notification has been sent prior to December 19, 2022 to programs.escala@gmail.com and your institution. *
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A copy of your responses will be emailed to the address you provided.
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