Registration: Robert Karplus 95th Birthday Celebration

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Please type your Last Name *

Please type your First Name and Middle Initial (if any) *

How did you know Robert Karplus (check all that apply) *

Family relationship

Student of Robert Karplus

Colleague of Robert Karplus

Friend of Robert Karplus

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Name of your school or organization (If none, type "none.")

Location of your home (City & State... & Country if not USA) *

Do you want to just listen or do you want to tell a story about Robert Karplus? *

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What is a brief title for your story about Robert Karplus *

We will be recording the Zoom session of this event. Please indicate that you give permission to STEMteachersNYC to use this recording, including your voice and image, in any legal way to advance the mission of the organization: "STEMteachersNYC cultivates excellence in STEM teaching and promotes deep understanding and success for students through innovative, teacher-led professional development."

Yes, I give permission to STEMteachersNYC to record this session and to use the recording including my image and voice to advance the mission of the organization.

No, I do not give permission. (Please note that individuals who decline to grant permission will be assigned time slots for their stories at the end of the program.)

A copy of your responses will be emailed to the address you provided.

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