Suffrage Centennial Workshop

Teacher Application Form

School Name:
Office Phone :
School Address:
Teacher Information
First Name:
Last Name:
Subject(s) and Grade Level(s) Taught:
Home Address:
School Phone (Ext):
Home Phone:
School Email:
Home Email:
What is the best e-mail, phone, and address to contact you during the summer months? Home School
I have read the Suffrage Centennial Workshop project description and requirements, including the commitments required for participation and implementation. I agree to participate in the Suffrage Centennial Workshop as described, including training, integration of project materials into the classroom and participate in the online support forum.
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