NEED Energy Conference for Educators Online Registration

First Name
Last Name
School Email
Subject/ Grade You Teach
School/ Organization
School Address
School City
School State
School Zip code
School Phone number
(with area code)
School Fax number
(with area code)
School District
School County
Home Address
Home City

Home State
Home Zip code
Home Phone number
(with area code)
Home/Summer email
Name you would like
on your nametag

Have you attended a NEED workshop/conference in the past?
What energy topics do you currently teach? (100 words or less)
What do you hope to learn at the conference? (100 words or less)
How do you plan to use the materials in your classroom in the coming school year? (100 words or less)
How will your use of the materials make an impact beyond your classroom? (100 words or less)
Please note any special needs (disabilities and/or dietary requirements)
Do you require lodging? Yes No   
(Lodging is double occupancy. A charge will apply for single rooms.)
Do you have a roommate
(enter name)
Please check one:
I need a sponsor Bill my organization (Registration will be processed upon receipt of a Purchase Order or Billing Information via fax to 800-847-1820 or
Additional Comments (25 words or less)
The NEED Project
8408 Kao Circle, Manassas, Virginia  20110
Phone:703.257.1117; Fax:703.257.0037
  Back to