Online Survey Software | Qualtrics Survey Solutions

Page Loaded

The Teaching the Great Diseases program has a limited number of special winter break discounts available for our online mini-courses. If you would like to be considered for a discount fill out the information on this form and we will get back to you within 3-4 days.

Your name (First, Last)

An email address that you will be checking frequently

Where do you teach (School, City, State)?

Why are you interested in taking a mini-course from Teaching the Great Diseases?

I plan on teaching the Great Diseases curriculum
I already teach the Great Diseases curriculum and want to learn the content in-depth
I teach similar topics, but do not use the Great Diseases curriculum
Personal interest in the topic
I need graduate credit or CEUs
Other

How many mini-courses do you plan to take this semester? (If you are unsure, an estimate is fine)

1
2
3
4
5
6 or more

Do you plan to:

Take the mini-course(s) for graduate credit
Take the mini-course(s) for CEUs
A combination of the two options

Are you a:

New student to the Teaching the Great Diseases online mini-courses
Returning student

Where did you hear about the Teaching the Great Diseases online mini-courses?

From a web search
From another website; if so, which one
From an email list
Through social media; if so which platform
Attended a Great Diseases webinar
Attended a Great Diseases workshop
Referred by someone; If so, please insert their name (first, last) here:
Other; pls mention how you heard about these mini-courses

We may be able to offer group discounts to large teacher communities (such as schools or districts). Would you be interested in finding out more?

Yes!
Not at this time

Are you from a high-needs school and would like to be considered for a scholarship?