FACILITATOR INFORMATION:

Who is your regional ETC: Select One ASU CFRESA First District HGRESA NSC VSU WGA RESA

First Name:   Last Name:   Position/Title:

School:   System:

School Street Address:   City:   Zip code:

Work Phone:   Fax:   Email:

        Did you attend a 2008 Kick-Off Training at a GA ETC (F2F or Web Conference)? Yes No

        How many years have you facilitated a PROMOTE (web site) Team? Select One None 1-2 years 3+ years

        How many years have you facilitated a GMA (movie) Team? Select One None 1-2 years 3+ years

CO-FACILITATOR INFORMATION (If Applicable):

First Name:   Last Name:   Position/Title:

Email:   

        Did you attend a 2008 Kick-Off Training at a GA ETC (F2F or Web Conference)? Yes No

        How many years have you facilitated a PROMOTE (web site) Team? Select One None 1-2 years 3+ years

        How many years have you facilitated a GMA (movie) Team? Select One None 1-2 years 3+ years

TEAM INFORMATION: A team consists of 3-8 student members

Movie Project Team Divisions: K-2nd | 3rd-5th | 6th-8th | 9th-12th

Web Site Team Divisions:  2nd-3rd | 4th-5h | 6th-8th | 9th-12th

    TEAM 1: Web Project  Movie Project  Both Web and Movie Project  Don't Know Yet

            Grade Level(s):

    Student Team Members: If at this time you do not know the names of your students, type in "Student1; Student2; etc."

    1.   2.  3.  4.

    5.   6.  7.  8.

    TEAM 2: Web Project  Movie Project  Both Web and Movie Project  Don't Know Yet

            Grade Level(s):

    Student Team Members: If at this time you do not know the names of your students, type in "Student1; Student2; etc."

    1.   2.  3.  4.

    5.   6.  7.  8.

    TEAM 3:  Web Project Movie Project  Both Web and Movie Project  Don't Know Yet

            Grade Level(s):

    Student Team Members: If at this time you do not know the names of your students, type in "Student1; Student2; etc."

    1.   2.  3.  4.

    5.   6.  7.  8.

    TEAM 4:  Web Project  Movie Project  Both Web and Movie Project  Don't Know Yet

            Grade Level(s):

     Student Team Members: If at this time you do not know the names of your students, type in "Student1; Student2; etc."

    1.   2.  3.  4.

    5.   6.  7.  8.

    TEAM 5: Web Project  Movie Project  Both Web and Movie Project  Don't Know Yet

            Grade Level(s):

     Student Team Members: If at this time you do not know the names of your students, type in "Student1; Student2; etc."

    1.   2.  3.  4.

    5.   6.  7.  8.

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