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Secondary Years 2022/23 Registration
REGISTRATION
Name
(Required)
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Last
Email
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Alberta
British Columbia
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Do you work or study in the field of education?
(Required)
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How long have you been in the field of education?
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0-5 years
5-10 years
10-15 years
15+ years
Currently in the Teacher Education Program
Which school district do you work in?
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What field do you currently work in?
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Are you a UBC Alumni?
(Required)
yes
no
Which degree or designation did you receive from UBC?
(Required)
How did you find out about Edith Lando VLC? Please check all that apply.
(Required)
Edith Lando VLC Website
PDCE Newsletter
Online Search
Email
Social Media
CONSENT
I would like to be added to the Edith Lando email list to receive occasional emails regarding workshops and events.
(Required)
Please add me to the mailing list
Please DO NOT add me to the mailing list
For the purposes of this event, it is necessary for the organizer(s) to contact you regarding registration updates, content, assignments, etc...Please indicate below that you consent to being contacted via email.
(Required)
I understand my contact information may be shared with the organizer(s)
Recordings and/or photography may take place during the course of this activity for use in various contexts including our websites and social media channels. In the event that recordings or images are captured, please review the below statement and indicate your consent or refusal. I hereby give The University of British Columbia (“UBC”) permission to use images of me (including any recordings or still photographs made by UBC of my likeness, poses, acts and appearances or the sound records made by UBC of my voice) (“Images”) for any purposes in connection with promoting UBC and their activities (the “Purposes), which may include advertising, promotion and marketing. UBC may crop, alter or modify Images of me and combine such Images with other images, text, audio recordings and graphics without notifying me. I understand that my personal information, including Images of me, is being collected pursuant to section 26 of the Freedom of Information and Protection of Privacy act, R.S.B.C. 1996, c. 165, for the Purposes. I consent to my name and any other information provided by me to UBC being displayed in connection with the appearance of my Image. I consent to any of my personal Information, including Images of me, being stored, accessed or disclosed outside of Canada. Any questions about videotaping, audiotaping and photography should be directed to info.elvlc@ubc.ca. I am 19 years of age or older and am competent to sign this contract in my own name. I have read and understood this form prior to signing it, and am aware that by signing this consent I am giving permission to UBC to use my Image for the Purposes.
yes
no
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