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All fields marked with a * are mandatory.
	First name:	*
	Last name:	*
	School:	*
	Home phone:	*
	School phone:
	Position:	*
	Email:	*
	Tenure Date:	*
	Are you being mentored during the 2009-2010 school year?	*
	Non-Tenured Staff Only Please entere the course ID for the following courses in order to meet your contractual development responsibility: Brain-Based Learning (ID #54) Classroom Management (ID #55) Essential Elements of Instruction (ID #56) Teaching Styles/Learning Styles (ID #57)
	First Preference		I took this class in the summer
	Second Preference		I took this class in the summer
	Flex Day Course(s)
	First course preference :
	Second course prefenrence:
	Third course preference:
	Fourth course preference:
	Number of Courses Desired: