Event registration

WHEN:            Monday March 25th 9:00am-3:00pm

WHERE:          Council of Supervisors and Administrators (CSA)

                         Founders Hall

                         40 Rector Street, New York, NY 10006

WHO:              Supervisors (of Science) New and Returning Members

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Email *
Last Name *
First Name *
Title *
School Name *
School DBN (Ex. 02M365 or 31R440) *
Borough *
Would you be willing to host an upcoming SSA meeting at your school? *
FOR CTLE CREDIT ONLY: DATE OF BIRTH
MM
/
DD
/
YYYY
FOR CTLE CREDIT ONLY: LAST 4 DIGITS OF SOCIAL SECURITY NUMBER
A copy of your responses will be emailed to the address you provided.
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