InTeGrate Developing Systems Thinking Webinar Registration Form

Please use this form to register for the InTeGrate Developing Systems Thinking webinar that will take place on Friday, October 23, 2015.

Please register by October 22, 2015

Complete the following form and click on SUBMIT to confirm your registration. Be sure to hit the SUBMIT button before leaving this page or your information will be lost.

First Name

Last Name

Email Address

(Please Note: Your email address is what we use to track your application and participation in the webinar. Be sure to use the same email address in all forms relating to your webinar participation. This email will also be our primary means of communication with you.)
Insitution

Department

How do you plan to connect to the webinar audio?
(If you need to change your call-in method, that is fine; we are just trying to better prepare for the audio set up.)

I plan to use Skype or other VoIP program to connect to audio
I plan to use the 'have the webinar call me' option.
I plan to call in to the webinar on a phone (please complete box below)

If there is a possibility of you calling in to the webinar audio, please provide the phone number you plan to use to call in.

InTeGrate teamHow are you involved with the InTeGrate Project

Course/module author
Implementation program participant
Other (describe below)

Other:

If you are one of the course or module authors, please select your team from one of the drop down menus below.

Introductory geoscience modules (lead: David McConnell)

Interdisciplinary modules and courses (lead: David Gosselin or John Taber)

Distance learning courses (lead: Tim Bralower)

Teaching about the Earth using a Humanities or Social Science Frame OR Teacher Preparation (lead: Anne Egger)

If you have questions you would like to see covered during the webianr, please include them below.

Webinar Product ReleaseIn confirming my registration for this webinar, I agree that any audio recording or images (still or video) made of me during the workshop may be used on the InTeGrate project website, in printed project publications, and in materials developed by the project. I further agree that my contributions to creative works that emerge from workshop activities (e.g., discussions on the email list, contributions to the web page, summaries of group discussion, etc.) may be used for development of future workshop materials, for scholarly reports, and for promotion of the project. Attribution for original contributions will be made whenever possible.

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