Pitt NCTA Application Form 2019-20
Registration Deadline: August 27, 2019
Facilitated by Dr. Brenda G. Jordan
Questions: Email pitt.eastasia@gmail.com 

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Name *
Home Address *
Home Phone # *
Permanent Email Address *
School Name and Address *
Subjects and Grade Levels Taught: *
Have you taken a NCTA 30-hour seminar or other East Asia survey for teachers before? If yes, when and where? *
Please type or paste in a statement (maximum of one page) describing what you teach, how the seminar material would fit into your classroom, and what you hope to gain from the seminar. *
I am committed to completing the full 30-hour seminar and follow-up sessions (6 hours), and understand that I will not receive the full benefits of the seminar unless I fulfill these commitments *
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