Workshop Registration

Participant InformationFirst Name:
* required
Last Name:
* required
Institution:

Department:

Current position:

City:

Select a State:

Email Address:
* required
Confirm Email Address:
* required
(Please Note: Your email address is what we use to track your registration and participation in the workshop. Be sure to use the same email address in all forms relating to your workshop participation and the same email as your NAGT membership, if applicable. This email will also be our primary means of communication with you.)

Your Mentoring ExperienceWe will be working together in groups throughout the workshop. Knowing more about your mentoring background and needs will help better design the workshop.

Tell us a little bit about your experience mentoring and where you'd like to build your skills. * required

Please share any particular mentoring challenges you've encountered or concerns you have about mentoring. * required

Is there anything else you think is important for us to know?

Demographics (optional)NAGT seeks to offer professional development and resources that support all of our members and represent the full community of Earth educators in our participants. These data will help us assess the extent to which we are meeting that goal.

Gender Identity (select one response):

Woman
Man
Non-binary
I prefer not to answer

Prefer to describe:

Race/ethnicity (listed in alphabetical order, select as many as apply):
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic, Latinx, or of Spanish origin
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
White
Another race or ethnicity not listed above
Prefer not to answer
Prefer to describe:

Disability state (select as many as apply):
Hearing impairment
Visual impairment
Mobility impairment
Learning disability
A disability or impairment not listed above
No disability or impairment
Prefer to describe:

Programmatic AccommodationsThe conveners for our mentoring workshop are committed to providing universal access to our programming and supporting special accommodation requests to the best of our ability. Please check the box below if you would like a member of the NAGT/SERC staff to follow up with you to assist with accommodations that support your needs. Advance notice is necessary to arrange accommodation requests.
Please have a staff member follow up with me.

NAGT Code of ConductIn fulfilling its vision and mission, NAGT promotes, provides, expects and endorses a professional and respectful atmosphere and values a diversity of views and opinions at NAGT supported events and programs. All NAGT meetings and events participants are expected to abide by the NAGT Code of Conduct, which applies in all venues, events, and on-line forums associated with NAGT. Please read the full NAGT Code of Conduct Policy (opens in a new window) and the complete list of NAGT Policies (opens in a new window) .

Workshop Product ReleaseIn confirming my registration for this workshop, I agree that any audio recording or images (still or video) made of me during the workshop may be used on the project website, in printed project publications, and in materials developed by the project. I further agree that my contributions to creative works that emerge from workshop activities (e.g., discussions on the email list, contributions to the web page, summaries of group discussions, etc.) may be used by the workshop series, PIs, and conveners for development of future workshop materials, for scholarly reports, and for promotion of the workshop series. Attribution for original contributions will be made whenever possible.

Workshop Registration

Registration Payment