JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Illinois Science Educators Book Club
A virtual, professional learning network of science educators from across the state of Illinois coming together to read, discuss, and share experiences related to the book Ready, Set, Science!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
IEIN #
*
Your answer
District/School/Employer
*
Your answer
Position/Job Title
*
Your answer
Address (First 25 participants to register will be mailed a free paperback copy of Ready, Set, Science!)
Your answer
Population You Work With (select all that apply)
*
K-2nd Grade
3-5th Grade
6-8th Grade
9-12th Grade
Higher Education
Required
How did you hear about the Book Club?
Facebook
Twitter
IL Classrooms in Action listserv
From a friend/colleague
Superintendent's Bulletin
Clear selection
Are you planning to complete reflections in order to receive Professional Development hours?
*
Yes
No
How experienced are you in participating in Zoom meetings?
*
I have never used it
1
2
3
4
5
Very comfortable
How comfortable are you using Twitter?
*
I have never used it
1
2
3
4
5
Very comfortable
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms