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Civics 603! Educator Registration for 2023-2024 Academic Year
Check out the
Civics 603! website
for more information.
If you would like to connect with the NH Civics team with a question prior to registering for the Civics 603! program, please email us at
civics603@nhcivics.org
. Thank you!
Name
*
First Name
Last Name
Email
*
Verify Email
*
Personal Cell Phone
*
School Name
*
School Region
*
select one
South East
South Central
South West
Lakes Region
North Country
School Street Address
*
School Town/City
*
US State
*
If international, select N/A.
select one
N/A
NH
MA
ME
VT
RI
CT
NY
AL
AK
AZ
AR
CA
CO
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
MD
MI
MN
MS
MO
MT
NE
NV
NJ
NM
NC
ND
OH
OK
OR
PA
SC
SD
TN
TX
UT
VA
WA
WV
WI
WY
Zip Code
*
NH County
*
Special instructions for a school visit (parking, checking in, etc.):
Grade(s) for which the Program is Intended
*
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
How many classes do you hope to put through the program?
*
select one
One Class
Two Classes
Other
If you answered "Other," please state the number of classes here.
Number of students in each class, separated by comma.
*
Name of Class(es) Taught
*
Social Studies, History, Law and Government, Civics, etc.
Level of Class(es) Taught (if applicable)
(Advanced Placement, Honors, etc.)
Type of Civics 603! Program Requested
*
Visit the Civics 603! website for program descriptions: https://tinyurl.com/civics603nh.
select one
Mock Mini-Trials
Mock Appellate Arguments
Practical Law
Not Sure
School and Educator Demographics
NH Civics gathers demographic information for our programs to use in grant applications and to improve our programs. All responses submitted will have no individually identifiable information. Disclosed and published results will be presented as aggregate, summary data to further support the Civics 603! program. Thank you.
Is your school a Title I School?
*
select one
Full Title I School
Partial Title I School
Not a Title I School
Education Level
*
select one
Associates
Bachelors
Masters
Doctorate
Gender
*
select one
Cis Male
Cis Female
Non-binary
Other
Prefer Not to Answer
If you answered "Other," please state here.
Race
*
select one
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White / Caucasian
Other
Prefer Not to Answer
Ethnicity
*
select one
Hispanic or Latino
Not Hispanic or Latino
Prefer Not to Answer
Age Range
*
select one
20-29
30-39
40-49
50-59
60-69
70+