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Inquiry Form
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1.Name
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2.Role
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3. Institution
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4. Contact Information
Please provide best way in which you would like me to contact you. e.g. work email, personal email, phone number, Linkedin message, zoom, etc.
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5. What needs do you have that you are looking for support with?
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6. What service are you interested in?
Professional Development for my school
Content Development
Collaboration with Classroom Curriculum Objective
Plan and Implement a PBL
Engineering and Design
Experiential Activity in Science, STEAM, or Technology
Creating a more student led classroom
7. Service needed that is not listed.
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8. What is your time frame for this service?
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9. I would like to arrange a free brainstorming session. Please contact me at your earliest convenience.
My dates of availability are
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10. Information that might assist you in planning our free brainstorm session.
Questions, comments, concerns
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