Central Region - 2019-2020 Teacher Information
Please complete the following questions to the best of your ability by July 31st, 2019.
* Required
Last Name
*
Your answer
First Name
*
Your answer
School System
*
Your answer
Chapter Name
*
Your answer
Number of Years Taught Ag (ending June 30, 2019)
*
Your answer
Teaching Certificate Type
*
Choose
Provisional
T4
T5
T6
T7
Age
*
Choose
20-29
30-39
40-49
50-59
60+
Area
*
Choose
3
4
Email Address
*
Your answer
Cell Phone Number
*
Your answer
School Phone Number
*
Your answer
CTAE Director's Name
*
Your answer
CTAE Director's Email
*
Your answer
Principal's Name
*
Your answer
Principal's Email
*
Your answer
Would you be willing to judge one or more of the following:
*
Proficiency Applications
National Chapter Applications
Middle School Record Books
Agriscience Fair Written Reports
NO--I WOULD NOT LIKE TO SERVE AS A JUDGE!!
Required
Do You need training or help in a particular area?
*
Your answer
Do you have an Alumni?
*
Yes
No
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