Arkansas Environmental Education Association
One moment please...
eeCourse: Universal Design for Learning in Environmental Education
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Organization/Employer
*
Work Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Participant Information
The following information is needed for grant reporting purposes and to ensure that AEEA is reaching a broad group of individuals around the state.
Professional/Volunteer Role
*
Pre-service Education Student (college student working on a degree in education)
Faculty in Higher Education
Classroom Teacher
Non-formal Educator in a Nature Center, Museum, Government Agency, etc
Trainer - Primary responsibility is providing professional development to other educators
Other
In which region/s of the state do you work?
*
Check all that apply.
Statewide
Central
Northwest
Northeast
Southwest
Southeast
Race/Ethnicity
Check all that apply.
American Indian or Alaskan Native
Hispanic or Latino
Middle Eastern
Asian
Native Hawaiian/Other Pacific Islander
Black or African American
White
Another
Age
Under 20
20 - 29
30 - 39
40 - 49
50 - 59
60+
Gender
Payment Information & Invoices
IMPORTANT: Please indicate below your method of payment. You must click on the button "Submit and enter payment information" for the information to be submitted to us. Your information will be submitted, but you will NOT see a confirmation page. This will take you to a credit card payment screen. You only need to enter credit/debit card information if that is your preferred method of payment. A confirmation of payment will be sent to credit/debit card payments automatically. PAYMENT MUST BE RECEIVED BY AUGUST 4.
Amount
*
$65
-
AEEA member registration fee
$100
-
General public registration fee
Method of Payment
*
Paying with credit card now
Invoice needed - payment to be submitted later
Paying by check - no invoice needed