Event Registration

Name(Required)

First Last

Email(Required)

What best describes your role/interest in the Residency Program?

K-12 Teacher/Administrator

Student (DePauw)

Student (Other)

Faculty/Staff (DePauw)

Faculty/Staff (Other)

Community Member

Which events do you plan to attend during our Residency Program?

Documentary Screening and Discussion — April 2, 4:30PM

Pedagogy Masterclass: Big Conversations Through Children’s Literature — April 3, 4:30PM

Please check all that apply.

Are you interested in receiving professional development credit for this event?

Yes.

No.

I'm not sure.

2.0 IN PGP, CEU, or comparable

Are you interested in being considered for a stipend to help offset your travel costs for this event?

Yes.

No.

Awards will be made based on considerations of financial need and career stage (with priority given to graduate and early-career scholars and practitioners).

Please provide any additional information you'd like to in support of your request for financial assistance.

Do you require any accommodations for accessibility purposes at this event?

Please specify any needs you may have so we can ensure our event is as fully accessible as possible.