CSCTFL Leadership Workshop Application - 2019
Please complete the following form PRIOR to December 1, 2018 to ensure your participation in the workshop. A confirmation will be sent to you after December 1, 2018 when the participant list is finalized.
First and Last Name *
Your answer
Preferred Mailing Address *
Your answer
Preferred E-mail Address *
Your answer
Preferred Phone Number *
Your answer
School/Employer *
Your answer
Position *
Years of Experience *
State Nominating the Participant *
I am being nominated by... *
Is your state a member of the CSCTFL Advisory Council? *
Briefly explain your current and/or anticipated leadership role in your school and/or your state organization. *
Your answer
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