Register for the Technology Integration Workshop

Technology Integration Workshop Registration Form

Please note that fields marked with a red * are required.

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

Work Email

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:

Number of years teaching:

Principal's First Name

Principal's Last Name

Principal's Email

School Address

School City

School State

School Zip

Please provide your home information:

Home Address

Home City

Home State

Home Zip

Home Phone

Cell Phone

Personal Email

Gender

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

Primary email account used during the school year:

Primary email account used during the summer:

Which phone number do you prefer we contact you at?

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

Yes

I give permission to BestPrep to use my likeness including my name, written or spoken words and/or picture in promotional materials and/or news releases.

YesNo

Dietary Restrictions?

If yes, please explain:

Do you need any special accommodations?

If yes, please explain. If the applicant has a physical or mental disability, BestPrep will do our best to support, though we cannot guarantee accommodations. Requests made after May 15th will require special consideration; applying as soon as possible will allow time for accommodations to be made.

Please Answer Questions Below:

Participants use laptops while at the Technology Integration Workshop. Will you have access to a laptop to bring to the Workshop? If no, we will lend one to you for the week.

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?

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

Artificial Intelligence	Assessments – Formative and Summative
Assistive Technology and Adaptive Learning	Augmented and Virtual Reality
Coding	Cybersecurity
Design Thinking	Differentiated Classroom/Instruction
Digital Access and Equity	Digital Citizenship and Literacy
Digital Collaboration	Digital Presentation Tools
Digital Storytelling	Gaming
Google Classroom	Google Forms and Sheets
Maker Spaces	Social-Emotional Learning
Video Creation, Editing and Storage

Other:

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

Payment

The cost for TIW is $225 for one educator, $200 each for two educators from the same school or district, and $175 for three or more teachers from the same school or district.

This non-refundable registration fee can be paid by check, money order, or credit card. Space is limited and is available first-come, first-serve; submit your registration form and payment early to guarantee your spot. If you are not accepted to the Workshop, your fee will be refunded.

Scholarships are available to educators and schools that lack staff development funds. Please contact BestPrep for a scholarship application.

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 individual Technology Integration Workshop Application 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)

CVV Code

Expiration Month

Expiration Year

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 follow-up details about the information you’ll need to complete regarding the unit plan you will work on. A pre-work form will be sent to you; this pre-work needs to be completed within 3 weeks of acceptance to the workshop.

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

Phone: 763-233-6328 Fax: 763-398-0391 tiw@bestprep.org www.bestprep.org

Authnet_Hidden_Fields

Contact Information