CCWLP/Stanford_Continuing Studies Application

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2021-2022 CCWLP
Application for Stanford Continuing Education Units:
($100 for 4 quarter or 2.5 semester units)

Course Title:
Empowering hybrid learning with 21st Century skills, interactive strategies, and research based resources.

Email *

First Name *

Last Name *

Middle Initial

Confirm Email *

Address *

Address 2 (Suite #, Apt #, etc)

City *

State *

Zip Code *

Country *

Best Phone Number *

Date of birth *

YYYY

Please select which best represents your status *

First time applying for Stanford Units with CCWLP

I have applied for Stanford Units with CCWLP in the past

I do not seek to apply for Stanford Units.

Other:

I hereby understand that this form is solely contingent on that, the participant must meet the requirements to obtain the Stanford Units, (email ccwlpmarketing@gmail.com for more details). Please write your full name to say you understand. *

A copy of your responses will be emailed to the address you provided.

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