Bill of Rights Institute: Register for a Seminar

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Educating Young People About the Constitution

Teacher Seminar Registration Form

Which seminar would you like to attend?

Salutation:

First Name

Last Name

Personal Email Address

Alternate Email Address

At which email would you prefer to be contacted?

PersonalAlternative

I would like to request reimbursement of substitute funds. *Please note, these funds are only available to teachers in the state of Kansas are reimbursed directly to the school district after the conclusion of the seminar. Request forms will be provided at the seminar for requesting teachers to submit to their district contact.

Yes- I am a Kansas teacher, and would like to request this funding

School Name

School City

School State

School Zip Code

Please indicate the job description(s) below that most closely resembles your role:

Teacher

Administrator

Social Studies Supervisor/Department Chair

Curriculum Director

Which courses do you teach?

US HistoryWorld HistoryAP HistoryGovernmentAP GovernmentAP OtherEconomicsCivicsLawOther

What year did you start teaching?

Which level do you teach the majority of the time?

At what type of school do you teach?

How did you hear about this event?

If you chose "other" under the question How did you hear about this event, please explain:

If you heard from a colleague or administrator, please provide their name.

Do you have any dietary restrictions? (If your restriction is not listed, please contact events@billofrightsinstitute.org)

No Special PreferencesKosherVegetarianFood Allergy - NutsFood Allergy - ShellfishFood Allergy-Gluten/Wheat

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