District Visit/Consultancy Sign-Up Form

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In the spaces below , list your name, district , and your preferences for participating as a team member on a Tri-State visit.

Conflict of Interest - Please do not sign up for a visit in a district in which you or your spouse live, have been employed, or have been considered for employment.

NOTE: Please scroll down to the bottom of the form to view the list of District Visits/Consultancies.

Email *

Have you completed the Tri State Visit training?

Yes

Other:

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Please type your name. *

(Last, First)

Please select the district you work in? *

Please select your school level. *

Please select your position. *

Please select your department. *

Please indicate the district you live in.

Please select your preference to participate as a team member on a visitation:
*

Click on Choose to view the Dropdown list. Note: Subjects with an * are a Consultancy.

March 5-7, 2025 / North Shore, NY - Consultancy: North Shore Journey - Action and Impact

April 30 - May 2, 2025 / Hastings-on-Hudson, NY - Consultancy: Cultural Competency

May 7-9, 2025 / Hewlett-Woodmere, NY - Consultancy: English as New Language (ENL)

A copy of your responses will be emailed to the address you provided.

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This form was created inside of Tri-State Consortium.