Educator Registration

Educator Registration

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*Indicates a required field

*Have you attended Business Challenge as an Educator in the Past? 


*Gender:  

*Title:  

*First Name:  

Middle Name:  

*Last Name:  

*Address:  

*City:  

*State  

*Zip:    

*Home County:  

*Email:  


Name of School:  

School Phone:  


*Home Phone:  

Cell Phone:  


*I will be staying:  

*Interested in transportation to Medora:  


Ethnicity (Optional):  


*Shirt Size:  


*Teaching Field:  

Local Newspaper:  

*Where did you hear about Business Challenge?  

Other:      


Recruit five high school students to attend Business Challenge by April 30 and take advantage of the waived registration fee. 

  

Student 1:  

Student 2:  

Student 3:  

Student 4:  

Student 5:  

   


*Please type a short essay about why you want to attend Business Challenge.
Include your past and present scholastic and extracurricular activities.

   


*Choose Payment Method: