Thank you for sharing some information about yourself. We use this information to design educational materials and professional development opportunities that are valuable to our educators.
I. Professional Development Information
Date of Workshop ✻
Workshop location? ✻
Facilitator(s)? ✻
PD Event Type ✻
II. Participant Information
Your First Name? ✻
Last name? ✻
Gender ✻
Ethnicity: ✻
Preferred Mailing Address
City, State, Zip
School/Organization Representing:
Would you like to receive PLT updates and notification of new editions of the Branch, PLT's quarterly on-line newsletter? (Must enter Email Address next) ✻
Email Address: Be certain that you have entered it correctly.
1. My position is (Check all that apply): ✻
If you check "Other" above, please describe
2. In what subjects do you plan to use Project Learning Tree? Check all that apply. ✻
If you checked "Other" above, please describe
3. How many students do you reach each year? ✻
Write In #
I plan to deliver PLT with 4-H Youth ✻
4. What is the primary demographic of your students? ✻
What percentage of your students are:
American Indian or Alaskan Native ✻
Asian ✻
Black or African American ✻
Hispanic ✻
White ✻
5. How did you learn about Project Learning Tree? Check all that apply. ✻
Additional comments?
