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Stanislaus County Teacher Induction Candidate interest form
This is not an enrollment form. Please do not complete this if your District has already approved your enrollment.
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Your Name
*
Your answer
Your preferred email address:
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Your answer
Your preferred phone number
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Your answer
Your preferred method of contact
*
E-Mail
Phone
CALIFORNIA District of Employment for 22-23 (Please do not abbreviate)
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Your answer
City of Employment
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Your answer
Please mark your credential status below
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I hold a current preliminary CA credential
I will have a preliminary CA credential prior to October 15th, 2022
I have an expired preliminary CA credential
Other:
My preliminary credential(s) is/will be in:
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General Ed (Preliminary Multiple Subject, Preliminary Single Subject)
Special Ed (Preliminary Education Specialist, Education Specialist Level I)
Both General and Special Ed
Other:
Are you National Board Certified?
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Yes
No
Any other information you would like to provide:
Your answer
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