2014 Kansas Constitutional Conference Registration Form
School Zip Code
Personal Email address
Work Email Address
At which email address would you prefer to be contacted?
Please indicate which of the following roles best describes you:
Social Studies Supervisor/Department Chair
Which courses do you teach?
What year did you start teaching?
Which level do you teach the majority of the time?
At what type of school do you teach?
How did you hear about this event?
Bill of Rights Institute Email
Bill of Rights Institute Website
Education Week Magazine
If you heard about this event from a Colleague or Administrator, please provide their name
If you chose "other," please explain:
Do you have any dietary restrictions? (If your restriction is not listed, please contact email@example.com)
No Special Preferences
Food Allergy - Nuts
Food Allergy - Shellfish
Will you need hotel accommodations during the conference?
Yes - I will need overnight accommodations and understand that I may be paired with another participant of the same gender.
No - I will commute to and from the program, or will make my own arrangements.
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