CCEA National Board Traditional Cohort Registration 2018-19

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Fill in this form to register for a traditional cohort providing year-long support for your National Board Certification process. You will be assigned to a cohort and meetings will begin in fall of 2018. Cost to participants is $275 for CCEA members, $350 for non-members. Payment information will be sent to your email.

Last name *

First name *

School *

Grade level taught: *

K-5

6-8

9-12

Other (counselor, librarian, strategist, etc.)

Subject taught (if applicable):

Email *

Cell phone # *

National Board Certificate area *

I live in the (choose one that best describes) *

Northeast

Northwest

Southeast

Southwest

Henderson

Center

Boulder City

North Las Vegas

Summerlin

Clark County outside of Las Vegas

Other:

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