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Teacher Registration
Personal Information
E-Mail:*
Valid e-mail is required
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
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North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:*
Marital Status:
Select Status
Single
Married
Divorced
Gender:
Select Gender
Male
Female
Date of Birth:
Phone:*
Teaching Experience
What grade level(s) do you teach?*
Select Grade Level
Kindergarden
1
2
3
4
5
6
7
8
9
10
11
12+
Are you certified to teach in the area of your major teaching assignment?*
Yes
No
I`m not sure
What subject(s) do you teach? Check all that apply:
Science
Math
Social Studies
Language Arts
Performing or Visual Arts
Physical Education
Other
Other
School Applying For
Resume
School Name:*
School District:*
Address Line 1:*
Address Line 2:
City:*
State:*
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:*
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