Explorer Program Registration Form

Expand learning beyond your classroom’s walls by embarking on a virtual exchange with a RTW explorer as your guide. Ignite your students’ curiosity, confidence and compassion!

Participation in the Explorer Program is free for K-12 classrooms. We're glad to have you along for the adventure.

Your Contact Information

First Name

Last Name

Email

Please select the pronouns that best describe you:

If you selected "Other", please share your pronouns below:

Have you previously participated in any Reach the World programs?

YesNo

Are you still in the same role and school from the last time you participated in a Reach the World program?

YesNo

Your School Information

School Name

Please indicate the country where your school is based

School Address

City

State

Province

ZIP Code

Country Code

Phone Number

Which of these best describes your role in your learning community?

If you selected "Other" please list your role below:

What subject(s) do you teach?

If you teach another subject please write it here:

Page 2

Your Classroom

How many students in total will participate in your virtual exchange journey?

How many classrooms (groups of students) will participate in your virtual exchange journey?

What is the total number of educators involved in your virtual exchange journey (including yourself)?

Which grade level(s) do you plan on taking on the virtual exchange journey?

If you select "Other", enter your response here:

Your Explorer Program Journey

Which Explorer Program virtual exchange are you joining?

Which past expedition would you like to follow on demand?

Page 3

Referrals & Affiliations

How did you find out about Reach the World?

Referral Name

Referral Email

If you selected "Other", please list your response here:

Are you affiliated with any of the following programs or organizations? Please look at the list and choose all that apply:

If you selected "Other", please list your response here:

Extra Credit

As you begin your journey, think about colleagues who might also be interested in their own virtual exchange journey. We need your help to expand students' global networks across the U.S.

If your recommended educator enrolls in the Traveler Program this school year, both their Traveler Program journey and your next Traveler Program journey this year are FREE! This is a value of more than $600 in free programming.

Do you know of any other teachers who might be interested in Reach the World?

Yes

No

Maybe

Nominated Teacher's First Name

Nominated Teacher's Last Name

Nominated Teacher's Email