GEMS at Russell Sage College

Teacher/Guidance Counselor Registration Form
Name
School
Level	Middle School High School
School Address
City, State, Zip
Email
Phone 123-555-1234
Are you involved with the Project Lead The Way curriculum?	Yes No
For Teachers: Engineering, Mathematics, and Computer Science courses you teach. Please indicate which, if any, are Project Lead The Way courses.
For Guidance Counselors: Grade(s) You Work With
Note: When your students fill out their registration forms, they will need to indicate a preference in workshops. We will assign students to workshops in the order in which these registration forms are received. Middle School Workshops – Friday Nov. 7, 2008 – Russell Sage College Engineering Workshop: Flying Paper Airplanes Mathematics Workshop: Fun with Fractals Computer Science Workshop: Computer Tools for School High School Workshops – Thursday Oct. 2, 2008 – Russell Sage College Engineering Workshop: Build a Model of a Simple Machine Mathematics Workshop: Dirt Bike Challenge - Linear Programming Computer Science Workshop: Tell Your Story - Friend Media Creator