SIGNUP

*First Name
*Last Name
*Permanent or Personal Email
*Confirm Permanent or Personal Email
Personal or Permanent Phone
School Email
School Name
School Address
School City
School State	Choose a State/Province Alabama Alaska Alberta Arizona Arkansas California Colorado Connecticut D.C. Delaware 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 Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
School Zip Code
Please note what level you teach, taught, or expect to teach.	Pre-K Elementary Middle High School Post Secondary Other (i.e. Home Schooling or Training Center) Retired Educator
Year you began (or expect to begin) teaching (four digits)
Please note Subject Areas that you teach, taught, or expect to teach.	All Subjects (elementary level) English Language Arts/Reading English I English II American Literature World Literature Writing/Journalism Other English Art Business Technology Science History/Social Studies Reading Language Arts Mathematics Special Education Library/Media World Language Music Health Consumer Education P.E. Administration Staff Other
Are you an IEA/NEA member? (Yes/No)
Are you National Board Certified? (Yes/No)

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