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1. Name (Required.)

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2. Social Security Number (Required.)

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3. Date of Birth (Required.)

Date

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4. Home Address (Required.)

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5. Cell Phone (Required.)

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6. Is your school authorized by the State Charter Schools Commission (SCSC)? Please note that all initial SCSC Scholarships have been awarded. However, you may be eligible for a future scholarship upon registration for a different course. (Required.)

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7. School Name (Employer) (Required.)

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8. Title (Required.)

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9. Work Email Address: (Required.)

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10. Candidate Status (Required.)

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12. Which course(s) are you registering for? (Required.)

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13. How will you pay for the training? (Required.)

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14. Payment Information - Note: Each individual course costs $300 per person.  Schools must pay for each individual course before attending. GCSA will bill your school in advance of the course. Participants must complete all 6 courses to receive certification.  The full six-course Financial Certification Program costs $1,800.  Schools paying for the full six-course program up front will receive a discounted rate of $1,620 (10% off).  Please provide billing info below.  You may also call Jeniffer Fletcher, at 470-344-0256 to pay by credit card. (Required.)

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