PPL Take Action Registration

Thank you for your interest in the PPL Take Action program offered to grades 5-7. Please complete all fields below. Please contact Kelly Flowers with any questions at kelly@nef1.org.

Thank you for registering for our Think! Energy program. Our program is full, but we keep a rolling waitlist as student counts tend to change. Please contact Kelly Flowers with any questions at kelly@nef1.org.

Submitting Registration Form...

Are you an employee or a student or family participant?

School Information

School Name

School Address to send materials

Physical address of school

School phone number

School district

School County

School level (For Middle School, choose Jr High):

Elementary

Jr High

Things that may impact our deliveries

First day of school?

School Start Time

School end time

Dates of known school breaks?

What times of the day are students NOT available for presentations?

As of today, do you know if your school will allow presenters into the building for presentations?

Yes, my district will allow presenters

No, my district will not but please follow up

Not sure at this moment, please ask again in August

Your Information

Title

First name

Last name

Your role in our program (pick teacher if you have students participating.)

Teacher with participating students

Registering - Notify with updates

Registering - Follow up with teachers

Cell phone number

Ok to text?

Yes

Best time to reach you

Anything else that would be helpful for us to know to serve you best

if teacher - how will you be instructing in the next school year?

Face to face

Virtual

Mixture of above

Number of students in your class

Grade level of your students

other (please contact Stephanie Dorman)

PPL Take Action Registration

Registering a new school

Are you an employee or a student or family participant?

School Information

Your Information