Conference/training Request Form

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Conference/Training Request Form
Name_______________________________ School Site__________________________
Phone Numbers:
Home_______________ Cell ________________ School Phone __________________
Conference/training for which you are applying _________________________________
Date of Conference ____________________ Location ___________________________
Why do you want to go to this conference/training?:
OFFICE
USE ONLY
List any ITA, CTA or NEA conferences you have attended:
OFFICE
USE ONLY
Would you be willing to share the information you have learned/gathered at the next
scheduled Representative Council meeting or another mutually agreed upon forum?
OFFICE
USE ONLY
____________________________________ __________________________________
Date
ITA Authorization
Applicant Signature

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