First Name *

Last Name *

Email Address *

Mobile Phone *

Title * Principal Asst. Superintendent/Superintendent District-Level Specialist Curriculum Specialist Tech Integration Specialist/Coach STEM Educator Tech/CS Educator Librarian/Media Specialist PE Teacher Special Education/ SEL Specialist Music Teacher Grade Level Teacher After-school or Summer Camp Instructor Other (non teacher) Finance

Organization / School *

State / Province * Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon

Country * United States Canada Other

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