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NWSE Professional Development Online Registration

Thank you for your interest in this event sponsored by Northwest Special Education Cooperative. Please complete all of the information on this form in order to complete your registration.

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* 1. Participant Name

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* 2. School District

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* 3. Your Position

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* 4. Please indicate which sessions you will be attending

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* 5. Email address
Note: This information will be used to confirm your registration, as well as to contact you in the event of a change/cancellation associated with the event

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* 6. Phone number
Note: This information may be used to contact you in the event of a change/cancellation in the event.

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* 7. Please indicate any special needs/accommodations.

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* 8. Please provide your IEIN number

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* 9. Please indicate below if you want CEUs (for Social Workers only) or Professional Development Units.

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