Arkansas Environmental Education Association
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Environmental Education Programs: Guidelines for Excellence virtual workshop - Pay Later
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
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Organization/Employer
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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
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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
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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
Registration
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$15 - AEEA member rate
$20 - General public rate
Is an invoice needed?
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Yes - I will pay by credit card after receiving an invoice
Yes - I will pay be check after receiving an invoice
No - I will pay by check