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Central Region - 2023-2024 Teacher Information
Please complete the following questions to the best of your ability by August 1, 2023.
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
School System
*
Your answer
Chapter Name
*
Your answer
Number of Years Taught Ag (ending June 30, 2023)
*
Your answer
Teaching Certificate Type
*
Choose
Provisional
T4
T5
T6
T7
Age
*
Choose
20-29
30-39
40-49
50-59
60+
Area
*
Choose
3
4
Email Address
*
Your answer
Cell Phone Number
*
Your answer
CTAE Director's Name
*
Your answer
CTAE Director's Email
*
Your answer
Principal's Name
*
Your answer
Principal's Email
*
Your answer
Would you like a hard copy of the Central Region Calendar? Will be delivered at August teachers meeting.
*
Yes
No
I would like to order extra copies of the Central Region calendar. Calendars are $10.00 each. Enter number of needed calendars below.
Your answer
Would you be willing to judge one or more of the following:
*
Proficiency Applications
National Chapter Applications
Middle School Record Books
Agriscience Fair Written Reports
NO--I WOULD NOT LIKE TO SERVE AS A JUDGE!!
Required
Do you need training or help in a particular area?
*
Your answer
Do you have an Alumni?
*
Yes
No
need help starting one
Required
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