2023-2024 Professional Development Request

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Email *

Last Name *

First Name *

Campus of Employment *

TES

TJH

THS

TLA

SPED Department

What grade(s) do you teach? *

What subject(s) do you teach? *

What is your t-shirt size? *

Small

Medium

Large

XXL

XXXL

Title of the PD or session *

Date(s) *

Location of the PD *

Copy of the URL to the website for the PD *

Cost to Register for the PD *

Will you need lodging? *

Yes

Other:

Is there someone that you would like to room with? *

Signature *

By entering your name in the box below, you are effectively providing your signature. Indicating that all of the information on this form is true and accurate, to the best of your knowledge. You are also agreeing to have the amount of the registration, hotel, and any other associated fees deducted from your paycheck if you do not attend the conference or workshop.

Required

Employee Signature *

Submit

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