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First Name:*
Middle Name:
Last Name:*
Suffix:
--Select--
Nickname:
School Dist*:
Main Address:*
City:*
State:*
--Select--
AB - Alberta
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
BC - British Columbia
CA - California
CO - Colorado
CT - Connecticut
CZ - Canal Zone
DC - District of Columbia
DE - Delaware
FL - Florida
GA - Georgia
GU - Guam
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
LB - Labrador
MA - Massachusetts
MB - Manitoba
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NB - New Brunswick
NC - North Carolina
ND - North Dakota
NE - Nebraska
NF - Newfoundland
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NS - Nova Scotia
NT - Northwest Territorie
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
ON - Ontario
OR - Oregon
PA - Pennsylvania
PE - Prince Edward Island
PQ - Quebec
PR - Puerto Rico
RI - Rhode Island
SC - South Carolina
SD - South Dakota
SK - Saskatchewan
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VI - Virgin Islands
VL - Vulcan
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
Zip:*
Work Phone:
If USA: (111) 111-1111
Fax:
If USA: (111) 111-1111
EMail:*
Home Phone:
Demographic Information
Would you like to serve on the following Research Committees (you may select more than one)?
Accounting
Internal Auditors
Distribution & Inventory
School Nutrition
Information Technology
Maintenance & Operations
Payroll
PEIMS (Public Edu. Information Mgmt. Systems)
Personnel
Purchasing
Risk Management
Safety, Security & Risk Management
Instructional Materials
Transportation
Please mark the primary function of your position. Select only one of the following:
Assoc./Asst.,Superintendent
Attorney
Auditor
Distribution/Inventory
Finance
Food Service
Graphics Communications Management
Maintenance/Operations/Facilities
Mgmt. Info Services/Records Mgmt.
Payroll
PEIMS
Personnel
Purchasing
Risk Management
Safe Schools (Security)
Student
Superintendent
Textbook Management
Transportation
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