An Introduction to Liberatory STEAM Education Registration Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Email Question Title * 4. Education Institution Type School District Charter School Private School Community Center/Non Profits Higher Education/foundation/Government agency etc. Other (please specify) Question Title * 5. School City, State and Zipcode Question Title * 6. What grade do you currently teach? Elementary Middle School High School Graduate School Other (please specify) Question Title * 7. What course do you currently teach? Question Title * 8. Which category best describes you? White (Eg: German, Irish, English, Italian, Polish, French, etc) Hispanic, Latino or Spanish origin (Eg: Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc) Black or African American (Eg: African American, Jamaican, Haitian, Nigerian, Ethiopian, Somalian, etc) Asian (Eg: Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc) American Indian or Alaska Native(Eg: Navajo nation, Blackfeet tribe, Mayan, Aztec, Native Village or Barrow Inupiat Traditional Government, Nome Eskimo Community, etc) Middle Eastern or North African (Eg: Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian, etc) Native Hawaiian or Other Pacific Islander (Eg: Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, etc) Some other race, ethnicity or origin Other (please specify) Question Title * 9. Gender Women Man Gender Fluid Genderqueer Agender Non Binary Unsure Prefer Not to say Other (please specify) Question Title * 10. I confirm that I will attend both sessions on April 25 and May 2nd from 4 to 5:30 pm. Yes No Done