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Energy 101 Registration
Energy 101 Registration
Energy 101 Professional Development Registration
Register for OEP's Energy 101 Professional Development workshops for teachers grades 3 & 4
Name
*
First
Last
Which program & date are you interested in participating in?
*
All trainings will be held at the Worthington Board of Education, 200 E. Wilson Bridge Rd., Worthington, OH 43085
3rd Grade: Energy Sources, Forms & States of Matter - Wednesday, June 29th, 9a-12p
3rd Grade: Energy Sources, Forms & States of Matter - Wednesday, June 29th, 1p-4p
4th Grade: Electricity, Thermal Energy & Climate Science - Thursday, June 30th, 9a-12p
4th Grade: Electricity, Thermal Energy & Climate Science - Thursday, June 30th, 1p - 4p
Will you need hotel accommodations for the day/evening before your Energy 101 Training?
*
OEP will provide hotel accommodations at no charge for those traveling from out of town to attend one of the Energy 101 trainings
Yes, I would like a hotel for Tuesday, June 28th for 3rd grade training
Yes, I would like a hotel for Wednesday, June 29th for 4th grade training
No
School District
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*
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Armed Forces Americas
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Please do NOT include your home address here.
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Please include your home information if we need to reach you after school is out for the summer.
HOME Address
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Indiana
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Pennsylvania
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South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Estimated number of students for the 2022-2023 school year:
*
Before shipping materials we will confirm student numbers at the beginning of the school year
Percentage of students on free/reduced lunch:
*
0-49%
50-74%
75-100%
Which best describes your school district?
*
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Where is your district in Ohio?
*
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