Register to be a TIW Moderator TIW - Moderator Volunteer Form Technology Integration Workshop If you have questions, contact Stephanie Musgrove at smusgrove@bestprep.org or 763-233-6328. Contact Information First Name Familiar Name/ Nickname Last Name Ethnicity: To ensure we can accurately report on our volunteer base, please select the ethnicity you identify with most.Please select... American Indian Asian Black Hispanic Two or More Races White Prefer Not to Disclose Gender PronounsPlease select... He/him/his She/her/hers They/them/theirs Ey/em/eirs Ze/zir/zirs Co/co/co’s My pronouns are not listed Prefer not to disclose Title Company/ Organization Company Street Address Mail Stop City State Zip Work Email Work Phone Personal Email Cell Phone Preferred EmailPlease select... Work Personal Preferred PhonePlease select... Work Personal Twitter Handle Sessions are held Monday, July 26 – Wednesday, July 28, 2021. Session Date and Time: Please select the dates and times you are available to moderate. BestPrep will use this information to schedule your session. Moderators will be online up to one hour in advance of the 45-minute session and stay online ten minutes after it concludes. BestPrep will confirm exact timing with you before you are scheduled for a session.Monday, July 26 – 11:00 a.m. – 12:45 p.m. Tuesday, July 27 – 10:45 a.m. – 12:15 p.m.Wednesday, July 28 - 8:30 – 10:15 a.m.Wednesday, July 28 – 9:30 – 11:15 a.m. If available for a second session, choose that day/time from these choices.Monday, July 26 – 11:00 a.m. – 12:45 p.m. Tuesday, July 27 – 10:45 a.m. – 12:15 p.m.Wednesday, July 28 - 8:30 – 10:15 a.m.Wednesday, July 28 – 9:30 – 11:15 a.m. Will you have access to a high-speed and high-functioning internet connection for your session? Due to the virtual nature and digital platform of TIW, this is a requirement of all moderators to ensure a good experience for both you, the presenter and the session attendees. Please note that you will not be able to fulfill the moderator role if you select “No”.YesNo Preference for Teacher Technology Level: Indicate the level of attendee technology expertise that you are comfortable assisting.Please select... No Preference Beginner Intermediate Advanced All levels Participant level: Please specify the level of attendee you are best suited to assist.Please select... No Preference Elementary Junior High High School Video and audio recording will occur throughout TIW. By checking “Yes” below, I give permission to BestPrep to use my likeness including my name, written, spoken or recorded words, and/or picture in promotional materials, news releases, inclusion on the BestPrep webpage, and/or other purposes deemed fit by BestPrep or its sponsors.YesNo Please click the "Submit" button below. The registration form may take a minute to process, so please wait until the confirmation screen opens. Thank you for registering! Contact Information
