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Connect-In-Place: Instructor Interest Form - Summer 2022
Note: This not an official application.

This form helps Connect-In-Place anticipate the number of individuals interested in the program. Regardless of your answers below, you will receive an email notification during the Spring, when applications open.

Thank you for your time, we hope to see you in the summer!
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Email *
Name *
College/University you attend/have attended *
What is your expected year of graduation? If you have graduated already, please type the year you graduated below. *
Connect-In-Place has impacted class categories. Are you able to teach a class in any of the following? *
Required
If you answered "no" to the above question, what type of class would you like to teach? You may also add a description below if you would like.  
Grade level you are interested in teaching. *
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