Fall/Winter 2019 and Spring 2020 PLC Registration Form
First Name *
Your answer
Last Name *
Your answer
Email Address *
This is a CRITICAL piece of information. Your confirmation and reminder emails will be sent to this address. Please make certain that you enter your address correctly.
Your answer
Primary School District *
Select the primary district for which you provide services. If you have no primary district, please select "OTHER" in this drop down list.
Other Districts
Select the primary district for which you provide services. If you have no primary district, please select "OTHER" in this drop down list.
Your answer
Agency
If you work for an agency OTHER THAN a school district, provide the name of the agency for which you work.
Your answer
County *
PLC1
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PLC2
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PLC3
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PLC4
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PLC5
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PLC6
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PLC7
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PLC8
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PLC9
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PLC10
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PLC11
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PLC12
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PLC13
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PLC14
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PLC15
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PLC16
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PLC17
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PLC18
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PLC19
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PLC20
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PLC21
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It is recommended that you print a copy of this after making your selections, BUT BEFORE you submit.
Submit
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