TPS Workshop
Online Registration Form

If so, please briefly describe your familiarity with the Program:
First name:
Last name:
If you graduated under a different name, please list it here:

Street address:
City:
State:
Zip:
Phone:
Work/Personal email address:
Date of Cal U graduation:
Degree(s)/major(s):
Teaching certifications:

Teaching Status:	Full time Substitute Not Teaching
School district:
School name:
City of school:
State of school:
Grade level:
School email address:
Are you familiar with the Teaching with Primary Sources Program (formerly Adventure of the American Mind)?	Yes No

Visitors > Alumni > Current Students > Faculty & Staff >

California University of Pennsylvania | 250 University Ave., California, PA 15419 | Phone: 724.938.4000
This Page Last Updated: 9/11/2009 by roberts_n
webteam@cup.edu

TPS WorkshopOnline Registration Form

TPS Workshop
Online Registration Form