Unless you have received personal permission from the moderator you must be a teacher to complete this form. In this form you may only make one choice per field. After you are on the List of Participants you may login and modify information and select several grades or languages.
Please use proper capitalization; do not use all lower case.
First name
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Home Address †
City
Country
Country Afghanistan Albania Algeria Andorra Angola Antigua & Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia & Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burma (Myanmar) Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Congo, Democratic Republic of the Costa Rica Cote d'lvoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia, The Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyane française Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Northern Ireland Norway Oman Pakistan Palau Palestinian State Panama Papua New Guinea Paraguay Peru Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Samoa San Marino Sao Tome & Principe Saudi Arabia Scotland Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Kitts & Nevis St. Lucia St. Vincent & The Grenadines Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand The Netherlands The Philippines Togo Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wales Western Sahara Yemen Zaire Zambia Zimbabwe
Province/State
Province
Postal/Zip Code
Home Telephone
Position
TeacherPrincipalDepartment HeadLibrarianConsultantTrusteePre-Service TeacherTeacher Assistant Home SchoolerTechnicianVice-PrincipalCounsellorSuperintendentDirectorProfessorUniversity Faculty or Staff MemberCommunity College Faculty Member
Language
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How did you hear about the My Travel Teddy Project?
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† Home address and telephone number information will not be revealed to other participants or to the general public. Its collection is necessary to maintain the integrity of the My Travel Teddy Project. In some cases this information is verified through follow-up contact in the interest of Internet safety.
Grade Levels
JK SK 1 2 3 4 5 6 7 8 9 10 11 12 13 SpecEd ESL GFT IMM HMSCH (Homeschool)
Name of school
School Address
School Telephone
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