Registration for interest in Cohort Support
By registering you are stating that you are interested in being a part of one of KEA's Cohort Supports that will take place close to your school or home location. We must have 10 people in a geographic area interest in receiving support via the cohort setting in order to provide you with a cohort lead trainer.

There will be 5 meetings each 2 hours long for a total of 10 hours of NBCT support. The meetings will take place between January and the May completion date. KEA members are asked to pay $100 and non-KEA members are asked to pay $200. This fee is used to help offset the training stipend provided to your cohort leads that take time to help support you in the NBCT process.

Please complete the registration to share your interest and once there is enough people in your geographic area we will invite you to be a part of that cohort. That is when you will be able to process your payment and the cohort meetings will begin.

First Name
Your answer
Last Name
Your answer
Email Address
Your answer
School District you work in
Your answer
School District you live in
Your answer
Certification Area
Your answer
Personal Phone Number
Your answer
Phone Number of Work Site
Your answer
Which components are you registered for? (mark all that apply)
Required
Number of Years Taught
Are you a KEA member?
How far are you willing to travel to a cohort location? (check all that apply)
Required
THANK YOU for taking the time to register for KEA's NBCT CSP Provider Program!!!
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