District Visit/Consultancy Sign-Up Form
In the spaces below , list your name, district , and your preferences for participating as a team member on a Tri-State visit.

Conflict of Interest - Please do not sign up for a visit in a district in which you or your spouse live, have been employed, or have been considered for employment.

NOTE: Please scroll down to the bottom of the form and on "Choose to" view the Drop-down list of District Visits/Consultancies.

Please type your name. *
(First, Last)
Your answer
Please type your district. *
Your answer
Please type your email. *
Your answer
Please select your preference to participate as a team member on a visitation: *
Click on Choose to view the Dropdown list. Note: Subjects with an * are a Consultancy.
Submit
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This form was created inside of Tri-State Consortium.