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QCaMP Teacher Externship Signup
Please fill out the form below to complete your registration. This program will run virtually from June 13-17 and is open to teachers from the state of California.
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First Name
*
Your answer
Last Name
*
Your answer
Email
*
The confirmation email will be sent to this address
Your answer
Cell Phone Number
*
Your answer
Mailing Address
*
Your answer
Grades Taught
*
Elementary School
Middle School
High School
Other:
Subjects Taught
*
Your answer
School District
*
Your answer
School where you teach
*
Your answer
Do you require any special accommodations that we should be aware of?
Your answer
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