James Baldwin on Film, on the Page, and in the Classroom Registration

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Thank you for your interest in James Baldwin on Film, on the Page, and in the Classroom workshop series. Please supply the following information:

Last Name: *

First Name: *

Home Address: *

City, State, Zip: *

School Name and District *

If you are not currently working for a school or district, please indicate your current status.

Grade(s) and Subject(s): *

If you are not currently working for a school or district, please indicate your current status.

Cell Phone Number: *

E-mail Address: *

Please sign me up for James Baldwin on Film, on the Page, and in the Classroom. I am planning to attend on the following days: *

November 2, 5-8 p.m.

November 30, 5-8 p.m.

Both

其他：

I am interested in participating in the following activities (check all that apply): *

Learning about Baldwin's life and work

Reading and discussing Baldwin's writing

Learning new strategies for teaching Baldwin

Reviewing and critiquing instructional materials on Baldwin

Creating my own instructional materials on Baldwin

Participating in an extended discussion series or course on Baldwin

其他：

必填

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