Position (check all that apply):

Teacher

School or District Instructional Coach or Curriculum Specialist

Green education curriculum and/or professional development provider

Other:

How do you wish to display your materials (check all that apply):

On a vertical panel in the Teacher's Institute Conference Center (no charge)

On a vertical panel in the Green Curriculum Showcase in the Exhibit Hall (no charge)

On a table top in the Green Curriculum Showcase

(If you chose the tabletop, you will be contacted at the email address/phone number you provide below regarding sponsorship of a Teacher Institute attendee.)

Which of the following would be included in your display? (Note: If you have something to display that would require a tabletop rather than bulletin-board surface, please indicate that in the "other" space.)

Check all that apply.

Materials describing green curriculum and/or professional development resources

Written overview of the project

Photos

Student work

Student handouts

Lesson plans/outlines

Assessment tools

Other:

Would you want to provide contact information with your display so that other educators can reach you with comments and questions?

Yes

No

In what form would you provide materials?

As digital files, by e-mail or as posted on my web site.

By mail.

I will bring them to the conference myself and arrange their display on December 9th.

Important Notes: By providing materials for display in the Green Curriculum Showcase, you are not waiving any rights of intellectual property that you or others may have in those materials. However, Green Technology cannot guarantee that conference attendees will respect those rights. You may, if you wish, retrieve your materials yourself at the close of the exposition; otherwise Green Technology will dispose of them (shred and recycle).

Please indicate that you understand the above clause by checking this box.

Name:

Phone:

Email: