MSS i3 Planet Earth FA Registration

Planet Earth Facilitation Academy Registration

This form can be used to register for the Making Sense of SCIENCE: Planet Earth Facilitation Academy — a five-day professional learning institute designed to prepare MSS i3 Leadership Cadre members to lead the Planet Earth Teacher Course this summer. This event will take place at:

The Abbey Resort
269 Fontana Blvd
Fontana-on-Geneva-Lake, WI 53125

For more information about the topics covered in this course, download and read the Course Overview. Also available is a draft Agenda, to assist with district requirements in arranging for substitute teachers.

If you have questions about the registration process, please contact Louise Du Cray-Medley at lducray@wested.org or 650.381.6407.

* Indicates required field

Step 1: Course Selection

Course selection: *

PLANET EARTH Facilitation Academy & Leadership Cadre Retreat | May 1-5, 2017 | 8:30-4:30 | Lake Geneva, WI

By checking the box above, I confirm that I will attend this institute.

Step 2: Contact Information

* Indicates required field

Name *

First

Last

Organization or school *

Role *

Primary email *

Secondary email *

Primary phone *

Secondary phone *

Step 3: Travel and Lodging Information

TRAVEL
WestEd will reimburse all participants for certain travel-related expenses (e.g., parking, ground transportation, mileage). A per diem is available for meals not provided at the academy. Additional details and reimbursement forms will be provided prior to the event.

Comments *

LODGING
WestEd will provide lodging onsite at the Abbey Resort. All rooms are single occupancy. If you plan to stay longer, you are welcome to extend your reservation at your own expense.

Check-In Date: *

Check-Out Date *

Step 4: Summer Course Availability

Please indicate your preference for Planet Earth teacher course participation this summer. (Check all that apply.) *

Co-facilitate a teacher course Manage materials for a teacher course Attend a teacher course as a learner Develop teacher resources with colleagues

Which weeks will you be available to participate this summer? (Check all that apply.) *

June 19-23, 2017 | Milwaukee July 31-August 4, 2017 | Milwaukee Neither of these weeks

Step 5: Verify & Submit

Please review your information carefully. Once you click the submit button, your registration is complete. If you have questions at any time, please contact Louise Du Cray-Medley (lducray@wested.org or 650.381.6407).

Submit