7-12 CS Praxis Prep Workshop Series: Pre-Registration

The workshop series consists of four full-day sessions which will engage participants in developing fundamental concepts included in the 7-12 CS Praxis exam. Each session offers 6 Act 48 credits and is a stand-alone session reviewing various code-based topics where most takers need more support.


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First Name *
Last Name *
Email Address *
LEA (Local educational agency) : School District / Organization *
Please do NOT abbreviate.
Please confirm your eligibility *
Required
Are you currently enrolled in the CSinPA Praxis Prep Pathway (“WeTeach” Canvas course) or a participant in  any previous iteration of the Pathway (including PAsmart 1.0 or 2.0) regardless of completion status? *
If your answer is, "No," please register for the CSinPA 7-12 CS Praxis Prep Pathway before completing this form.  https://secure.smore.com/n/5ue3t 
Download and have your form completed including signature, save a copy, and upload it to a file sharing platform such as Google Drive, Microsoft OneDrive, etc.
Make sure that your file is viewable by Sadie Hetrick, shetrick@pattan.net
Link your completed and signed Admin Agreement Form here *
Make sure that it is viewable by Sadie Hetrick, shetrick@pattan.net
My Principal's Name *
First and Last
My Principal's Email Address *
Your personal payment information
In order for any payment to be made to you, it is required that PaTTAN/IU13 has your W-9 on file. The process of adding your information to the accounts on file takes several weeks. To avoid extended time for payment, we're asking you to submit your form now.

Here is a link to a blank W-9. Complete your form including signature, save a copy, and upload it to a file sharing platform such as Google Drive, Microsoft OneDrive, etc.
Make sure that your file is viewable by Sadie Hetrick, shetrick@pattan.net.

https://www.irs.gov/pub/irs-pdf/fw9.pdf
Link your completed W-9 here
*
Make sure that it is viewable by Sadie Hetrick, shetrick@pattan.net

(If you will not be requesting any mileage reimbursement or meal stipend, you can decline to submit a W9. Please state below that you will not be submitting for reimbursement nor stipend.)
Are you requesting a hotel room for your participation? *
To be eligible to have a hotel room paid for by the program, you must live more than 100 miles away from the closer PaTTAN Location. 

This form must be completed no later than 2 weeks before the session date to get a hotel room. If you're completing this form with less than 2 weeks, a paid hotel room may be denied.
I do not live more than 100 miles away, but I am requesting a hotel room, as explained here:
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