Information about who will attend if scholarship is awarded.

PLEASE NOTE: If your school or district is awarded a scholarship you must register someone new. No refunds will be given to already registered attendees if a scholarship is awarded.

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* 1. School or District Name (please do not abbreviate)

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* 2. School or District CDS Code

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* 3. School or District Office Zip Code

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* 4. Attendee Name

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* 5. Attendee Email Address

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* 6. Attendee Phone Number

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* 7. Attendee Job Title

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* 8. What grade(s) does the attendee teach (check all that apply)

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* 9. What subjects does the attendee teach?

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