National Board Certification Orientation
Please complete this survey to express your interest to attend a free NBC ZOOM orientation.
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First Name *
Last Name *
School *
Are you a UTLA member? *
Employee Number (LAUSD employees)
(Fill in your school district if you are not an employee of the LAUSD)
LAUSD email address (LAUSD employees)
(Leave blank if you are NOT an employee of the LAUSD)
NON-LAUSD Email Address *
Cell Phone Number *
Home Phone Number
Developmental Level You Teach *
(select the AGE group that best fits your students)
Certificate Area *
(Select the National Board Discipline you wish to pursue)
Please RSVP by selecting one of the following NBC ZOOM Orientation Workshop dates you would prefer.(You will receive a zoom invitation a day or so prior to the date you select): *
The Orientation is FREE, but I understand that if I decide to join The Support Network, there is $500 non-refundable fee. *
While the orientation is free, I understand and agree that if I join The Support Network, all fees are non-refundable.
I understand that there will be an onscreen confirmation message immediately upon submitting this survey. *
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