Registration Form: 2010 Natural Hazards in Hawaii Teacher Training Workshop

 

 

Your name:

     

 

Your school:

     

 

 Your e-mail address:

 

 

Your phone numbers:

     

 

 What grade(s) do you teach?

 

 

What Subject(s) do you teach?

 

 

 

 

Are you interested in receiving PDERI credit, at 2 credits per session?

 

      Yes

      No

 

 

 

 

Which of the 4 session(s) would you like to attend?

 

     

Volcanoes (January 16 & 30)

 

     

Earthquakes (February 20 & March 6)

 

     

Tsunamis (March 27 & April 17)

 

     

Hurricanes (May 1 & 15)

 

 

Why do you want to attend this workshop?

 

     

 

Fill out, print, and fax this form to 974 – 7677. Or scan the filled-in form and e-mail to csav@hawaii.edu       Questions? 974 – 7631.