SUCCEED 2020 Teacher Workshop Application
Dates: July 13-14, 2020
Teacher's Name: *
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Email Address: *
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Teacher's Phone Number: *
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Address: *
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City: *
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State: *
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Zip: *
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School Name: *
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School Phone Number: *
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Currently taught grade(s) and subject(s): *
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Previously taught grade(s) and subject(s): *
Your answer
Race and Ethnicity (optional; for demographic use only; may select multiple or provide your own):
Why are you interested in SUCCEED? *
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