Teachers as Scholars Registration Form

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

  • Fields marked with * are required.
  • The Online Registration Form deadline for Teacher as Scholars AND Administrators as Scholars is October 15, 2021.
  • All attendees are required to complete ONLY Section 2 of the Sponsored Visitor Request Form and upload it below

Seminar dates and descriptions are provided here.

Seminar Information
Received approval for the selected seminar from your school
If applicable, please list if you are an additional or alternate attendee for the selected seminar:
Your Personal Information
First Name
Last Name
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
COVID-19 Vaccination Report
Following University Protocols, Teachers as Scholars will require all participants to complete Section Two of the Sponsored Visitor Request Form (found above) prior to attending their registered seminar. All attendees are encouraged to take steps they feel appropriate to protect themselves, like choosing to wear a mask at the event. Non-vaccinated persons are expected to wear a face covering when inside a campus building. Attendees should be made aware that social distancing may not be possible for them depending on the event location.
Upload you completed Sponsored Visitor Request Form.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.
School District Information
Please write the name of your school district if not represented in the options above
Please list the address for school.
Additional Comments
Please leave any additional comments or information here.