Global Citizen Series Registration Form

Global Citizen Series Registration Form - 2020

The LUV Team will be in touch with you once we have received your information. If you have any questions or comments, please do not hesitate to contact us.

First Name:

Last Name:

Email Address:

Phone:

School Name:

School Address:

COUNTRY:

LUV GLOBAL CITIZEN SERIES INFORMATION

Level Up Village's Global Citizen Series provides teachers with a flexible framework of activities hosted and delivered in a web-based video collaboration platform. The Series inspires global citizenship while developing 21st century skills.

GENDER EQUALITY

March 9th - March 20th

Centered around International Women's Day exploring SDG 5:Gender Equality.

CLIMATE CHANGE

April 20th - May 1st

Centered around Earth Day exploring SDG 13:Climate Action.

SOCIAL MEDIA AND POLITICS

October 26th - November 6th

Centered around the National Elections exploring SDG 16:Peace, Justice and Strong Institutions.

I’d like to register my class (up to 25 students) for:

ONE Global Citizen Series Course ($99) TWO Global Citizen Series Courses ($198)ALL THREE Global Citizen Series Courses ($250)

GLOBAL CITIZEN SERIES COURSE DETAILS - ONE COURSE $99

Global Citizen Series Course Choice:

Tell us the number of classrooms you'd like to register (up to 25 students per classroom):

Tell us the grade /age of the students you are registering:

We require ONE email address to be used to login to the LUV Platform to access training and manage the on-going course once it is underway. These login credentials will need to be shared and used by the teaching team. This email account is also where all notifications and alerts pertaining to the course will be sent. Usually the Lead Teacher for each class provides their email address, or a shared group email is created for this purpose:

Please provide us with the first and last name of the contact person to discuss next steps for this course:

Please provide us with the email address and/or phone number for the above contact person:

GLOBAL CITIZEN SERIES COURSE DETAILS - TWO COURSES $198

Global Citizen Series Course 1:

Global Citizen Series Course 2:

Tell us the number of classrooms you'd like to register (up to 25 students per classroom) for BOTH courses:

Tell us the grade /age of the students you are registering:

Please provide us with the first and last name of the contact person to discuss next steps for COURSE 1:

If the same name and email is being used for all three courses, please just complete for Course 1.

Please provide us with the email address and/or phone number for the above contact person for COURSE 1:

If the same name and email is being used for all three courses, please just complete for Course 1.

Please provide us with the first and last name of the contact person to discuss next steps for COURSE 2:

Please only complete this information if it is different to Course 1.

Please provide us with the email address and/or phone number for the above contact person for COURSE 2:

Please only complete this information if it is different to Course 1.

GLOBAL CITIZEN SERIES COURSE DETAILS - THREE COURSES $250

Students participating in our three courses will be joining LUV classrooms around the world for all three of our global conversation events: Gender Equality, Climate Change, and Social Media and Politics.

Please tell us the number of classrooms you would like to register for participation in ALL 3 of the courses (up to 25 students per classroom):

Tell us the grade /age of the students you are registering:

Please provide us with the first and last name of the contact person to discuss next steps for COURSE 1:

If the same name and email is being used for all three courses, please just complete for Course 1.

Please provide us with the email address and/or phone number for the above contact person for COURSE 1:

If the same name and email is being used for all three courses, please just complete for Course 1.

Please provide us with the first and last name of the contact person to discuss next steps for COURSE 2:

Please provide us with the email address and/or phone number for the above contact person for COURSE 2:

Please provide us with the first and last name of the contact person to discuss next steps for COURSE 3:

Please provide us with the email address and/or phone number for the above contact person for COURSE 3:

More details will be forwarded to you on completion of this registration form with regards to access to training, and class set-up. Is there anything else we haven't addressed in this registration process that you have questions about? Please let us know in the box below. :

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