Participant Profile
As a publicly-funded organization, we are required to collect information on both the programs we offer and the people who attend those programs.  In addition, we collect data in order to continually improve our service to California schools, teachers, and students through research, classroom practice and ongoing curriculum development.  CSMP will not sell your data to any outside vendor. Thank you for taking the time to provide your information below.
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Hot Math Topics: A Formula for a Cool Summer
First name *
Middle Name (optional)
Last name *
Suffix (Optional)
Select the number that corresponds to your gender identity
1. Female
2. Male
3. Another gender
9. Decline to state
Clear selection
Select the ethnicity descriptor that you feel best describes you. Choose 1, 0, or 9
1. Hispanic or Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture)
0. Not Hispanic or Latino
9. Prefer not to say
*
Select the number that best describes your identity and background.  Each number corresponds to a specific group/identity. Select from 1-7 or 9
1. African American or Black (A person having origins in any of the black racial groups of Africa.)
2. American Indian or Alaska Native (A person having origins in any of the original peoples of North and South America, including Central America, and who maintains tribal affiliation or community attachment)
3. Asian (A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.)
4. Native Hawaiian or Other Pacific Islander  (A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.)
5. White/Southwest Asian and North African (A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.)
6. Two or more
7 Other (not listed)
9. Prefer not to state
*
Select the number which indicates the total number of years you have taught as a credentialed TK-12 teacher. Select the number 1-5 or 9 which accurately describes your years of experience.
1. 0-5 years
2. 6-10 years
3. 11-15 years
4. 16-20 years
5. 21 or more years
9. Prefer not to state
*
Primary email *
Alternate email (optional)
Home zip code *
School name *
Select the number that corresponds with your current role in education. Select from the 1-9.
1. Teacher/TOSAs
2. Counselor/County Office of Education Staff/School Staff
3. School/District Administrator
4. Pre-service Teacher (e.g., a student in a teacher-education program)
5. University Administrator/Faculty
6. Community Member
7. Parents
8. Other
9. Prefer not to say
*
Select the number the corresponds with the grade span you teach currently.  *
Phone number
How many days do you plan to attend? *
I plan to attend Day One: How to convert your classroom into a “Thinking Classroom” on June 13 *
I plan to attend Day Two: Making Math Relevant on June 14 *
I plan to attend Day Three: Experience a Thinking Classroom on June 15 *
If you have specific dietary or allergy related needs, please indicate those below.
How are you paying for the Summer Workshop? REMEMBER to click Submit at the end of this form to complete your registration after selecting your payment method. *
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