Maine DOE Health Ed & Physical Ed 2020-21 Virtual Office Hours and PD Registration Form
In order to make sure that participation in the virtual Office Hours and professional development opportunities, is secure and only allows registered and vetted participants, please complete the form below. Upon confirmation that you are a teacher/educator Susan Berry (Maine DOE Health Education and Health Promotion Coordinator) and  Jean Zimmerman (Maine DOE Physical Education and Health Education Specialist) will provide you with access to the Master List to Zoom meetings using available securities. Please feel free to share the registration link, but DO NOT SHARE ACCESS TO THE MASTER LIST AND MEETING LINKS AND PASSWORDS.
Email *
First name *
Last name *
Content Area/Role/Position (i.e. PE Teacher, Health Ed, Principal, Special Ed) *
Grade span (Check all that apply) *
Required
School/building/agency where you teach/work. *
School district where you teach (N/A if not in a school) *
Your school/agency email address (This may be different than the email address you use to register.) *
Please provide a link to your school, district or agency website. This will be used to verify you are a school/district/agency employee. If your name is not on the website, please provide a name and email of a person who can verify your employment.) *
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