Road to Teaching Conference 2014

Registration Form

To register for the Road to Teaching Conference, please enter all of the following information carefully and completely. *ALL FIELDS REQUIRE AN ENTRY!

For assistance, contact Nancy Nguyen, Transfer Specialist at 714 564-6352 or email at nguyen_nancy@sac.edu

* Indicates required fields

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* Gender:   Male   Female
* Ethnicity:   African-American
  Asian
  Caucasian
  Hispanic
  Native American
  Decline to State
* High School or College Level:   High School Student
  College Freshman
  College Sophomore
  College Junior
  College Senior
  Credential Student
  Post Bachelor Student
  Non-Applicable
* Teaching Interest   Elementary
  Junior High
  High School
  Special Education
  College/University
  Other
* How did you hear about this event?   Banner
  Counselor
  Flyer
  Friend/Classmate
  Future Teacher's Club
  Instructor/Teacher
  Poster
  Web Site
  Other

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Note: If you are a student under 18 old, you must obtain permission from a parent to attend the conference.  Click here to print the permission slip.

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