Application for Authorized TEC Institute (ATI) May 17-19, 2019
Complete this form to attend the 2019 ATI
First, MI, Last Name *
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School District Name *
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Name of School *
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Home address including house number, street, city, state, and zip code *
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Email Address *
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Cell phone number *
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In which course do you wish to train? TEEMS PreK-6, Exploring Technology, Invention and Innovation, Technological Systems, Foundations of Technology, Technology and Society, Technological Design, Advanced Design Applications, Advanced Technological Applications, Engineering Design *
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Do you currently teach or have you taught the course for which you wish to train? *
How many years/times have you taught the course? *
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What is the name of your home airport? *
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Do you have any food allergies? *
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Do you have any dietary restrictions? *
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Do you require any ADA accommodations? *
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BILL TO: Name *
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BILL TO: Address *
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BILL TO: Phone number *
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BILL TO: Email *
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P.O. Number, if available
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