Bridging the Watershed - Institute Registration

NOTE: Please complete the application in its entirety and in one session as information cannot be saved and continued later. The application should take approximately 15 minutes to complete. Please proofread each page carefully before you go on to the next as you cannot go back to a previous page.

I. General Information
Institute *
First Name *
Last Name *
Home Address *
City *
State *
Zip *
Phone (best one to be reached) *
Work Email *
Home Email *
How did you learn about Bridging the Watershed? (Check all that apply) *	Colleague Administrator Pamphlet/Brochure Website Live Event Other
Are you interested in earning MSDE credit? (Maryland teachers only) *	Yes No Maybe
Previous Experience in Environmental Education or Outdoor Education*