CCLTC Membership Form
The form is for new members and membership renew.

Please mail your check to:

Karen Qi
1283 Glade Gulch Rd
Castle Rock, CO 80104

* make check payable to CCLTC and
* make note include your Chinese name and membership fee on check

Member Information
English Name *
Chinese Name *
Address *
City *
State *
Zip Code *
Email *
Please use your gmail account for CCLTC to share documents and resources with you
Job Title *
Phone Number *
School Names *
List school names where you teach Chinese program, can be more than one
School District *
What school district your school belongs to
How Many Students *
List the number of students in your school's Chinese program or class
Learning Interest Areas
To help CCLTC future training workshops
Membership New/Renewal
Membership Type *
Membership Fee *
Apply and pay now, you membership fee is good through Dec 2020
After the application, you will receive a confirmation through your email.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy