Teachers as Scholars Registration Form

This application should only be filled out by teachers who have been approved to attend Teachers as Scholars by their school or school district representative. 

  • Fields marked with * are required.
  • The Teacher as Scholars AND Administrators as Scholars registration deadline is October 11, 2019.
Seminar Information
Received approval for the selected seminar from your school
Your Personal Information
Seminar logistics and reading materials will be sent to the address provided
In case of emergency or changes, this phone number will be contacted
Seminar logistics and reading materials will be sent to the address provided
Other food restriction(s)/allergy not listed
School District Information
Please write the name of your school district if not represented in the options above
Additional Comments
Please leave any additional comments or information here.