SEA Conference Interest Form 
Interested in attending a CTA Conference? Please answer the questions below. Deadline to apply is 6 weeks prior to the conference. Please use personal information (email, phone number, etc). Please note that space is limited and participants will be selected by lottery. 
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Email *
Full Name *
Phone Number  *
Site *
Position *
Ethnicity  *
Gender *
Pronouns *
How long have you been in education? *
I am interested in attending the following CTA Conference (Participants will be chosen on a lottery bases)  *
Required
Did you also apply for a grant from CTA for this conference?
If no, please apply for a grant from CTA here:  https://www.cta.org/conferences/grants
 *
Are you a First-Time Conference Participant?
 *
Briefly describe (>100 words) how attending this conference will benefit the applicant and the local chapter. This narrative will assist in the decision when awarding the scholarship.
 *
Please read the  SEA Standing Rule 1.3 Expense Reimbursement by clicking on this link.  *
Required
Please type your name and date below. Your name serves as acknowledgement that you have read the SEA Standing Rule 1.3 Expense Reimbursement  and agree to adhere with SEA Member Expense Reimbursement.
*
A copy of your responses will be emailed to the address you provided.
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