HTM Online Seminar Registration_

Thank you for registering in the Hebrew Through Movement online seminar.

Required fields are marked with an asterisk *

Participant's NAME*

Answer Required

Perferred PRONOUNS*

Answer Required

She/her

He/his

They/them

EMAIL address *

The course was developed using Google technologies. Please provide a GMAIL address so you can gain access the seminar.

Answer Required

PHONE number*

After Module #4, you and your facilitator will schedule a conversation. We will not otherwise use this number.

Number Required

Your MAILING ADDRESS. We have something to send you!

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Director/Supervisor NAME*

Answer Required

Director/supervisor EMAIL*

Answer Required

NAME of the school/synagogue/place where you'll be teaching "Hebrew Through Movement"*

Answer Required

CITY of the school/synagogue/place listed above*

If you are part of a greater metropolitan area, please give that name. For example, if the city is Pikesville, list your city as Baltimore.

Answer Required

If your education program is part of the greater area of any of these communities, please check off the box.

Answer Required

Cleveland, OH

Chicago, IL

Los Angeles, CA

How would you describe your ability to SPEAK HEBREW?*

NOTE: If you are a NOVICE or BEGINNER, we ask that you work with the new learning program that specifically teaches the vocabulary you need to know to teach HTM. It will also help you understand the Hebrew in the online seminar. The link for "HTM-Shalom Ivrit" is on the homepage of HebrewThroughMovement.org. You may still register for the seminar, even if you are working to improve your Hebrew, first.

Answer Required

I am a NOVICE - I can say some basic words (shalom, shofar, tz'dakah, etc).

I am a BEGINNER - I can speak some simple sentences ("How are you?" "Where is...?").

I can "MAKE DO" in Hebrew - I understand someone speaking slowly with controlled vocabulary, and I can make myself understood.

I am "COMFORTABLE ENOUGH" in Hebrew - I can understand a lot and be understood.

I am FLUENT in Hebrew, or close to it.

How would you describe your TECH ABILITIES?*

Check the best answer for you.

Answer Required

I am relatively COMFORTABLE and should be able to handle the seminar.

I am OKAY ENOUGH online and know how to find help when I need it.

I am a LITTLE CONCERNED about doing this seminar online.

Other:

Anything else you think we should know that would help this be a successful learning experience for you?

Answer Required

PAYMENT: Read the descriptions carefully and choose the one that applies to you.*

Answer Required

$110.00 - I am a "regular" student in this seminar.

$0.00 - I am a Clevelander. The Jewish Education Center of Cleveland will be covering this cost.

$0.00 - I am a director who qualifies for a no-charge slot. Three of my teachers registered for the seminar between June 1, 20xx & May 31,20xx.

For office use, only

Answer Required

Please fix the highlighted areas below before submitting.

HTM Online Seminar Registration_