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IAEA Design Interest Group
Membership Form
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* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Which of the following best describes your profession?
*
Elementary Teacher
Middle School Teacher
High School Teacher
School or District Administrator
College or University Educator
Museum Educator
Which IAEA Region do you belong to?
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Northwest Region
Northeast Region
Central Region
Southern Region
Which of the following describes your professional location within the region?
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Chicago Public Schools (CPS)
Suburban School District
Rural School District
Charter or Montessori School
Other:
Name of the School, District or Museum where you work? (Name and District # if applicable)
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Your answer
How did you hear about the IAEA Design Interest Group?
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IAEA Website
IAEA Webinar
IAEA Social Media
IAEA Publication
State Conference
IAEA Regional Professional Development Event
IAEA Regional Social Event
Colleague
Other:
Which of the following describes your level of knowledge or experience with design, the design process or design thinking?
*
Basic Understanding + Minimal Experience
Moderate Understanding + Some Experience
Deep Understanding + Much Experience
Design Expert + Current Teacher or Leader in Design Education
Which of the following describes your PRIMARY interest in joining this group?
Engage with a Professional Community
Personal Growth or Development
Share General Knowledge or Experience with a Professional Group
Provide Professional Development to the Group via Workshops or Webinars
Facilitate or Participate in Design Challenges
Become a Design Education Leader for IAEA
All of the Above
Other:
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