GSSPA Fall 2017 Registration
Please fill out a separate form for each adviser. Include number of students on first form.
Adviser Name (as it will appear on your badge)
Your answer
Do You have JEA certification
School Name
Your answer
Address of School
Your answer
City, State and Zip
Your answer
County
Your answer
Preferred email for contact
Your answer
Adviser cell phone (needed for day of conference)
Your answer
Home Address
Your answer
Home City, State and Zip
Your answer
Publication Name
Your answer
Publication type (check all that apply)
Required
Number of advisers attending
Your answer
Number of students attending
Your answer
Do you wish to join JEA through GSSPA?
JEA
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