Workshop Survey
Workshop Date
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Month
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Day
Year
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Workshop Type
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Pre-Service
Summer Agriculture Institute
Kindergarten Conference
Reading Conference
Science Conference
Teacher Workshop
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Ag Education Conference
National AITC Conference
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Workshop Location
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Name
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First Name
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E-mail
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Adams
Bond
Brown
Bureau
Calhoun
Carroll
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Champaign
Christian
Clark
Clay
Clinton
Coles
Cook
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Cumberland
DeKalb
DeWitt
Douglas
DuPage
Edgar
Edwards
Effingham
Fayette
Ford-Iroquois
Franklin
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Gallatin
Greene
Grundy
Hamilton
Hancock
Henry
Jackson
Jasper
Jefferson
Jersey
Jo Daviess
JoDaviess
Johnson
Kane
Kankakee
Kendall
Knox
Lake
LaSalle
Lawrence
Lee
Livingston
Logan
Macon
Macoupin
Madison
Marion
Marshall-Putnam
Mason
Massac
McDonough
McHenry
McLean
Menard
Mercer
Monroe
Montgomery
Moultrie
Ogle
Peoria
Perry
Piatt
Pike
Pope-Hardin
Pulaski-Alexander
Randolph
Richland
Rock Island
Saline
Sangamon
Schuyler
Scott
Shelby
St. Clair
Stark
Stephenson
Tazewell
Union
Vermilion
Wabash
Warren-Henderson
Washington
Wayne
White
Whiteside
Will
Williamson
Winnebago-Boone
Woodford
Out of State
International
College/University Attending
Aurora University
Bradley University
Eastern Illinois University
Judson University
Lewis University
McKendree University
North Central College
Northern Illinois University
Olivet Nazerene University
Southern Illinois University-Carbondale
Southern Illinois University-Edwardsville
University of Illinois at Urbana-Champaign
University of Illinois at Springfield
University of St. Francis
Waubonsee Community College
Western Illinois University
Wheaton College
Out of State
None/Not Applicable
(if student)
School/Employer
Teaching Level
Grades PreK-2
Grades 3-5
Grades 6-8
Grades 9-12
Special Ed
Librarian
Other
If student, anticipated level)
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