Teacher Assignment Form

Current Representative's Information
Seminar List
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Partner schools/districts with a TAS membership are asked to submit the name(s) of their participant(s) for the Teachers as Scholars and/or Administrators as Scholars 2024-25 seminars listed below. Only the district/partner school's contact representative should complete this form by Tuesday, October 1, 2024.

After completing this form, our office will contact the representative to verify acceptance and send out instructions on how to their participants should complete the online registration form.

For COVID-19, participants are asked to follow the CDC Respiratory Virus Guidance. Please view the Visitor Policy for the most up-to-date information.

If you have any questions or concerns, feel free to contact Adela Ramirez at the Program in Teacher Preparation office by email [email protected] or phone (609) 258-3336.

Representative Contact Information

Name

Phone

For any questions regarding participants, this person will be contacted.

Name of School/District

Select the name of the school/district you are representing. If not listed, select "other".

Please write the name of your school/district if not represented in the options above

Address

Address 2

City/Town

State/Province

ZIP/Postal Code