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Chicago Humanities Festival Survey
Required Required Question(s)
Please complete the form below to sign up for the April and/or May Classics in Context Seminars. The Poetry of Pablo Neruda Saturday, April 18, 2009 from 10:00 am - 2:00 pm Center for Latin American Studies, University of Chicago The Great Gatsby by F. Scott Fitzgerald Saturday, May 16, 2009 from 10:00 am - 2:00 pm Kaplan Institute for the Humanities, Northwestern University
 
Required 1.
Please enter the information indicated below.
First Name:
Last Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

Required 2.
I would like to attend the April 18 Classics in Context (The Poetry of Pablo Neruda). Please note: cancellation date to avoid $20 penalty is by Monday, April 6.
Yes
No
Required 3.
I would like to attend the May 16 Classics in Context (The Great Gatsby). Please note: cancellation date to avoid $20 penalty is by Monday, May 4.
Yes
No
A free copy of the book will be mailed to your home address in advance of the CIC seminar. If you have questions please call 312-661-1028 ext. 35.
 
Required 4.
Are you currently an active teacher?
Yes
No
Required 5.
School name:
 

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Required 6.
School address:
 

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Required 7.
Is this a Chicago Public School?
Yes
No
Required 8.
What grade levels do you teach?
K-8
9-12
Other