Please fill out the following fields. Then click on the submit button to submit the information to the Goethe Institute. When you submit the information, you will be returned to the announcements page. Thank you for your assistance.

(* indicates a required field.)

* 1). First Name
* 2). Last Name
3). Address Line 1
4). Address Line 2
* 5). City
6). State
7). ZIP
8). Email Address
9). Alternate Email Address
10). School Phone Number
11). Home Phone Number
12). School Fax Number
13). Home Fax Number
14). Name of School/University
15). Name of Second School
16). Name of School District
17). Levels taught	Elementary School Middle School H.S. 1st year H.S. 2nd year H.S. 3rd year H.S. 4th year H.S. 5th year H.S. A.P. H.S. I.B. College
18). How many classes do you teach at each level?
19). What are the names of the textbooks you use?
20). What are the names of other German teachers at your school(s)?
21). Which of the following programs do you have at your school(s)?	GAPP German Club National German Honor Society AP Program IB Program German Contests Summer Programs Immersion Programs
22). What other German programs do you have at your school(s)?

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