Register for the Technology Integration Workshop

Technology Integration Workshop Registration Form

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First Name

Familiar Name

Last Name

Please provide your work information: [enter NA in fields that are not applicable.]

School Name

Position/Title

Work Phone

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Choose One:

Full-TimePart-TimeNeither

Grade Level(s) Taught:

Select all that apply. Hold "Ctrl" to select multiple grades.

Subject(s) Taught

Estimate number of students taught this year:

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Please provide your home information:

Home Address

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Gender Pronouns

He/him/hisShe/her/hersThey/them/theirsEy/em/eirsZe/zir/zirsCo/co/co’sMy pronouns are not listedPrefer not to disclose

Ethnicity: To ensure we can accurately report on our educator base, please select the ethnicity you identify with most.

Primary email used during the school year:

Primary email used during the summer:

Which phone number do you prefer we use to contact you?

Photos, video and audio recordings will be taken throughout the 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

Dietary Restrictions?

If yes, please explain:

Do you need any special accommodations for the workhop?

If yes, please explain. If the applicant has a physical or mental disability, BestPrep will do its best to support these needs, though we cannot guarantee accommodations. Requests made after June 15 will require special consideration; applying as soon as possible will allow more time to make accommodations.

I agree to accept all risks of participating in the TIW; I agree to hold harmless BestPrep and Cargill, their employees, officers, trustees, and volunteers to the fullest extent permissible by law.

Yes

Please Answer the Questions Below:

Participants are required to use a laptop or computer during the Technology Integration Workshop. Will you have access to a laptop or computer during TIW? If no, we will work with you to provide access to one of these devices.

Will you have access to a high-speed and high-functioning internet connection during TIW? Due to the virtual nature and digital platform of TIW, this is a requirement of all participants to ensure you can fully participate in all aspects of TIW. If no, we will work with you to provide options.

TIW attendees will complete a Unit Plan while attending the workshop using the curriculum-writing method, Understanding by Design. How familiar are you with this method?

How often do students in your classroom use technology in or for your class?

Select 3-5 topics from the list below that you would be most interested in learning about during a breakout session. We will do our best to offer the sessions selected.

Adaptive Learning	Advanced Google Classroom
Alternates to Course Grades	Assessments – Formative and Summative
Assistive Technology	Augmented and Virtual Reality
Building Community Digitally	Coding and Robotics
Design Thinking	Differentiated Instruction
Digital Citizenship and Literacy	Digital Collaboration
Digital Presentation Tools	Digital Storytelling
Gaming and eSports	Google Forms and Sheets
Hybrid Classes Best Practices	Online Classes Best Practices
Preparing Students for Emerging Technologies in the Workplace	Project Based Learning and Student Choice
Self-Paced Learning	Using Technology to Support Diversity, Equity, and Inclusion
Using Technology to Support Social-Emotional Learning	Video-Based Student Projects

Other:

Please list the technologies, devices and software students use most often in your classroom.

What is the primary learning management system you use at your school or within your district (i.e. Canvas, Schoology, Google Classroom, etc.)?

If you were referred to the Technology Integration Workshop, please provide the name and school/organization of the person who referred you.

Job Shadow

BestPrep will pair each attendee with a volunteer from business/industry who will host them for a job shadow on the afternoon of Tuesday, August 1st. These can occur in-person or virtually. Which is your preference?

I prefer in-person I prefer virtual, I am not comfortable going to an in-person locationI am willing to do either based on the company’s preference and availability

Payment

The fee for TIW is $150 for one educator or $100 each for two or more educators attending from the same school or district. This non-refundable registration fee can be paid by check, money order, or credit card. Fees paid are not refundable. Registration can be transferred to another workshop attendee or rolled forward to the next year if done ten days in advance. Cancellation closer to the workshop forfeits fees paid.

Space is available on a first-come, first-serve basis. If for any reason you are not accepted to attend TIW, any paid fees will be refunded.

Scholarships are available to educators and schools that lack staff development funds. Please contact BestPrep to learn more.

If you are registering with other teachers from your school or district, please enter their name(s). The additional teacher(s) must complete their own online application form complete with their own information.

BestPrep will process your application only upon receipt of payment. Based on the pricing information above, enter your registration fee. For those with approved scholarship/sponsorships, enter 0.

How would you like to pay?

Credit Card Information

Billing First Name

Billing Last Name

Billing Organization

Billing Email

Billing Phone

Billing Street Address

Billing City

Billing State

Billing Zip

Credit Card Number (Visa, Mastercard, American Express)

Expiration Month (MM)

Expiration Year (YY)

CVV Code

Please click the "Submit" button below. The application may take a minute to process, so please wait until the confirmation screen opens. Thank you for your submission!

All accepted applicants will receive a follow-up email and details about the pre-work form you’ll need to complete regarding the unit plan you will work on during TIW. If possible, this pre-work form needs to be completed within 3 weeks of acceptance to the workshop. If you need more time to complete the pre-work form, please contact tiw@bestprep.org.

To inquire about scholarships and for all other questions, please contact us:

Phone: 763-233-6330 Fax: 763-398-0391 tiw@bestprep.org www.bestprep.org

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