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iPlan: Sign Up Form
As you are preparing to use iPlan, please take a few minutes to fill out this survey so we can keep track of who is using iPlan, and when. Please contact
jsignorella@massaudubon.org
with any questions. Thank you!
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* Indicates required question
Email
*
Your email
Your Name
*
Your answer
Your Email
*
Your answer
Your School or Organization
*
Your answer
City/Town & State
*
Your answer
Grade of students
*
Choose
5
6
7
8
9
10
11
12
Number of students (How many participants?)
*
Your answer
Class/Unit Subject/Theme
*
Your answer
Expected start date
*
MM
/
DD
/
YYYY
Expected end date
*
MM
/
DD
/
YYYY
Would you like to receive lesson plans to go along with your use
*
Choose
Yes
No
If you answer "yes," select your preferred lesson plan topic
Choose
Ecological Restoration
Climate Change
Urban Heat Island Affects
Sustainability
Urban Ecology
Water Quality
How did you hear about this opportunity?
*
Choose
RIEEA
Mass Audubon
NAAEE
eePro
COEEA Listserv
Other
If you answered "Other," please list where you heard about this opportunity here:
Your answer
Comments? Other info you would like us to have?
Your answer
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