2012 CDE Summer Symposia Registration

1. Summer Symposium 2012 Registration

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* 1. First Name

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* 2. Last Name

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* 3. Title

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* 4. Email Address

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* 5. Office Phone Number

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* 6. Mobile Phone Number

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* 7. Role(s) - Please check all that apply

Accountability Contact

Assistant Superintendent

Association Representative

BOCES Administrator

Building Administrator

Classified/Support Staff

Community Organization/Agency/Advocate

Curriculum Director

District Assessment Coordinator

ELA Director/Coordinator

General Education Teacher

Gifted Education Director

HR Director

Instructional Coach

Mental Health Professional

Parent/Family Liaison

Professional Development Director

Related Service Provider

Special Education Director

Special Education Teacher

Superintendent

Title I Director

Other (please specify)

Question Title

* 8. To which of the following does your role most apply?

District

Early Childhood

Elementary

Middle/Jr. High

High School

Alternative

Transition

2012 CDE Summer Symposia Registration

1. Summer Symposium 2012 Registration

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Title

Question Title

* 4. Email Address

Question Title

* 5. Office Phone Number

Question Title

* 6. Mobile Phone Number

Question Title

* 7. Role(s) - Please check all that apply

Question Title

* 8. To which of the following does your role most apply?

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* 9. District

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* 10. Which event will you be attending?

Denver Registration is now closed

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Title

Question Title

* 4. Email Address

Question Title

* 5. Office Phone Number

Question Title

* 6. Mobile Phone Number

Question Title

* 7. Role(s) - Please check all that apply

Question Title

* 8. To which of the following does your role most apply?

Question Title

* 9. District

Question Title

* 10. Which event will you be attending?**Denver Registration is now closed**

* 10. Which event will you be attending?

Denver Registration is now closed