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NCCAT School-based Visit Request
Please complete the following form to help NCCAT's faculty better prepare for your school visit request.
Effective July 1, 2016 School-based visits require a contracted fee of $100 a day plus state rates for mileage, meals, and hotel if needed.
School Name
Your answer
County/District
Your answer
Billing Address
Your answer
Date(s) Requested for Professional Development
Your answer
Location of Professional Development
Provide address
Your answer
Time Frame for Professional Development
9 a.m. to 5 p.m.
Required
Estimated Number of Participants
Your answer
Select Program Title Requested
Required
Contact Person's Name
Your answer
Contact Person's Email
Your answer
Contact Person's Phone Number
Your answer
For information and scheduling:
For more information about scheduling a school-based program, please contact Angie Hambling, NCCAT Deputy Executive Director, at 828-293-5202 ext (1115) or email angie.hambling@nccat.org
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