Register to Marine Corps' Educators Workshop

This form is not an invitation. It is used in the selection process for choosing candidates to attend the Marine Corps' Educators Workshop in San Diego, California. Submitting this form declares your interest in the workshop and provides information required to qualify you for attendance. You will be contacted regarding your status at least 45 days before the start of the workshop. Good luck!

Qualifications
- Full-time High School (9-12) or post secondary educator (includes teachers, professors, counselors, principals, superintendents, coaches) or influential community members (includes governors, legislators, mayors, school board leadership) or people with ties to teenagers and young adults (includes youth group leaders, after-school volunteer program coordinators, etc.)
- Is physycally able to participate (workshop includes some periods of extended walking and standing)
- Has never served in the Marine Corps since 1996.
- Does not have a direct family member in the Marine Corps Delayed Entry Program, at bootcamp, or currently in the Marine Corps.


Mr | Mrs. | Miss | Dr. 
First Name and MI 
Last Name 
Complete Address 
Home Phone 
Cell phone 
Work e-mail address 
Personal e-mail Address 
Name of School (City | State)
Position / Job Description
Birthday (Date) (MM/DD/YYYY) 
Civic / Professional / Other group Affiliations 
Are you able to schedule a substitute teacher? 
Supervisor's Name and Contact Number 
Closest major airport to your home 
Have you ever or any immediate relative served in the military? 
Person you would like to share a room with (Double occupancy) 
Rate Your knowledge of the military: Good Average Minimal 
Have you ever attended an Educators Workshop before? 
List your medical limitations- if any 


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