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* 1. Last name

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* 2. First name

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* 3. Job Position/Title

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* 4. School/District

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* 5. Email

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* 6. Number of Years Teaching

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* 7. Number of Years in Current District

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* 8. Subjects you have taught

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* 9. Name of School and Grade level/Course

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* 10. Check all that apply:

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* 11. Grant due date if applicable:

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* 12. Potential Grant Funder:

One of our grant writing support teachers will contact you within 5 days.
Thank you!

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* 13. Do you wish to be contacted about future TEI events?

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