Chinese Language Teachers Association of California (CLTAC) Membership Application / Renewal Form
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First Name (English) *
Last Name (English) *
Chinese Name *
Email Address
*
Title *
Gender Identify
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Mailing Address
City
*
State
*
ZIP Code
*
Phone Number
*
School/System
*
Website (if any)
Your Role
*
Required
Chinese Language Program Type
*
Required
Years of Teaching Chinese
*
Areas of Interest/Expertise
*
Required
How did you hear about CLTAC
*
Required
Why do you want to become a member of CLTAC?
*
Required
Membership Type
*
Payment Instruction: https://www.clta-ca.org/join-cltac.html

If you choose the option(s) below, you will receive the invitation code in the membership application confirmation email: 
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