Standards Revision Application

1. Standards Revisions Application: Partnerships for Innovation and Nebraska Career Education

Please complete the Standards Revision Application to be considered to work on the standards revisions this summer. Applications are due by March 15, 2012. A stipend of $250/day will be paid to each person not on contract during the workshop. Lodging and mileage will be reimbursed to all participants. Continental breakfast and lunch will be provided, dinner on your own.

Question Title

* 1. Please provide us with your year-round contact information:

First Name:

Last Name:

School:

Home Mailing Address:

City/Town:

State:

ZIP + last four digits:

Year-Round Phone Number:

Mobile Number:

Year-Round Email Address: