Teacher Orientation & Training Registration

Northern California Teacher Orientation & Training Registration

* Date & Location of Training

* First Name

* Last Name

* Home/Mobile Phone

* E-Mail Address

* School District

* School Name & Address

* Grade(s) You Teach

* Number of Students

Are you currently participating in other educational programs offered by Pacific Gas & Electric?

* Select one

Yes

If yes, please describe

If referred by another PEAK Teacher, please provide his/her name

Please describe any past experience/interest the school has had implementing service-learning or environmental education programs

What do you hope the PEAK Student Energy Actions program will bring to your school site?

*Qualifying schools must meet the program criteria for enrollment which includes geographic diversity, community demographics, utility service territory and an interest in instructing students in science and environmental education.

This program is funded by California utility ratepayers and administered by PG&E in collaboration with the Energy Coalition under the auspices of the California Public Utilities Commission.

* Captcha

Please enter the word above in the space below