CSB Short Course Interest Form 2022-2023
The California School for the Blind is proud to announce Short Courses for the 2022-2023 school year!!  Full descriptions can be found on our website.
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Select a course you are interested in attending.  You may select more than one course.   *
Required
Student's Name *
Age *
Gender *
Student Phone Number *
Student email address *
Name of Parent/Guardian *
Parent/Guardian Phone Number *
Parent/Guardian Email *
Name of School District or County Office of Education *
Name of Teacher of Visually Impaired Students (TVI) *
TVI Phone Number *
TVI Email *
Name of Person who Completed the Form: *
Email Address of Person who Completed the Form: *
How did you hear about our Short Courses? *
Are there other skills or topics you would like us to teach in our short-term programs?
Thank you for your interest in CSB's Short Courses. YOU WILL RECEIVE AN AUTOMATIC REPLY WITH THE COMPLETE APPLICATION.  Please submit the full application as soon as you can.  The completed application reserves a place in the course.  Our Short Course Coordinator, Erica Hogle, will contact you to hear more about your interest in a course and answer any questions you may have. If you do not receive an automatic reply, or have any other questions, please contact her directly at (510) 936-5527 or ehogle@csb-cde.ca.gov.  
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