Get Started Company First Name * Last Name * Email Address * Please list the best email to be reached at (personal or work) Seconday Email Address Contact Number * Please list the best phone number to be reached at Alternate Contact Number Name of School * Address of School * School Website Personal Website Please select all the grades that you currently teach * 9 10 11 12 Which levels of classes do you teach? (Select all that apply) Standard Honors Advance Placement (AP) Gift and Talented (GT) List the name of the courses you teach * Separate each course with a comma List any extra curricular activities you participate in that are relevant to your work or this conference: (i.e. coaching, board member, club adviser, etc.) Separate each activity with a comma What objectives/goals do you have for attending this conference? What would be the ideal end result of you wish to have at the conclusion of the conference? * Select all from the following list that you have read: * Anthem Atlas Shrugged Brave New World Catch 22 Fahrenheit 451 The Giver Based on the list provided, have you taught any of these works in the classroom? If so, how did their themes cultivate your curriculum? * Are there additional works you have used in your classroom to explore the theme of utopia/dystopia? * Separate each work with a comma A large success of our workshop is the collaboration among the participating teachers. Please describe an instance where you have collaborated with others on your curricula and how that collaboration benefited the outcomes. * List any technology you have used in the classroom (ie: Prezi, Google Docs, Skype, social media): * Separate each technology with a comma We would like to share any curricula developed during or as a result of the workshop via an online platform on the Enterprise through Literature website. Credit would be given to the teacher who designed the curricula. Are you comfortable sharing this information? * Yes No
