Informational Survey

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* 1. Last Name

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* 2. First Name

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* 3. Middle Name

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* 4. Student ID

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* 5. Social Security Number

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* 6. Major

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* 7. Where do you plan to live next year (i.e. city)?

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* 8. Preferred District(s)

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* 9. Tech Email

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* 10. Preferred Email

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* 11. Phone Number

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* 12. Address

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* 13. Gender

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* 14. Race

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* 15. A+PEL ID Number

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* 16. Name of Elementary/Middle/High School Attended

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* 17. Have you passed your Praxis II Exam?

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* 18. Have you passed your PLT exam?

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* 19. We want to make the best placement for you. Please provide any additional information including subject or grade level preference. You can tell us as much as you wish, but you MUST TRUST US! We will work with the districts to make the best placement for you! :-) 

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