Teaching Support and Coaching Endorsement Candidate Information Sheet 2021 - 2022
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Cohort Year
From September 1 - August 31 = Use the year from September
Examples:
If course 1 began September 27, 2020 then the Cohort year is 2020
If course 1 began January 4, 2021 then the Cohort year is 2020
If course 1 began June 3, 2021 then the Cohort year is 2020
If course 1 began September 15, 2021 then the Cohort year is 2021
Cohort Year *
Employee Number *
GA Certification ID Number *
Last Name *
Middle Name (Optional)
First Name *
School Email Address *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Ethnicity (of Hispanic Descent) *
Race *
Required
Home Address *
Phone Number *
Endorsement *
Endorsement Starting Date *
MM
/
DD
/
YYYY
Completion Date (Do not answer this question)
MM
/
DD
/
YYYY
Withdrawal Date (Do not answer this question)
MM
/
DD
/
YYYY
Reason for Withdrawal (Do not answer this question)
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