Waitlist Sign-Up

Thank you for your interest in our workshop.

Please complete the form below to be added to the list for your desired workshop. We will contact you with further details if/when a space becomes available.

Please note: You must meet the stated educator requirements to participate in this workshop.

If you do not meet the requirements, please visit our website at www.pacificeducationinstitute.org for additional professional development opportunities.

Hidden Fields

Salesforce Campaign ID

You are getting on the waitlist for:

Personal Details

First Name

Last Name

Pronouns

Email Address

If you have taken workshops with us before, please provide the email you have used previously, if you still use that email. If you don't have a separate work email and personal email, you may enter the same email address in both fields.

Work Email

Personal Email

Please use my:

Work EmailPersonal Email

Preferred Phone Type

CellHomeWork

Preferred Phone

Why did you make the choice to attend this workshop?

Any additional information you would like to provide the Workshop Coordinator?

Employer Details

Do you work for a school district?

YesNo

What school district do you work for? If you do not work for a district, select "no district"

Start typing the name of your school district to search faster.

Other School District

Employer

Please select the grade(s) you teach.

Pre-K	Kindergarten	1st	2nd
3rd	4th	5th	6th
7th	8th	9th	10th
11th	12th	Not Applicable

Are you a bilingual Spanish speaking educator.

YesNo

Email List Opt-In

Would you like to be added to PEI's email list?

Yes, please add me to your email list!

Review Registration Information

PEI is not responsible for registration issues resulting from incomplete or inaccurate information.

Please verify that all of your information is entered correctly before clicking confirm.

If you hit confirm below and you are not taken to the next page, please scroll to the top of the form to see if there is an error message. If you have any questions about your registration, please contact our Program Coordinator, Rachel Drummond, at rdrummond@pacificeducationinstitute.org.

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Contact Information