USEA

Utah School Employees Association

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Interest Form

  

USEA Classified Development Programs
Class or Seminar Interest Form

 

Date
Name
Address
City
Zip
District
School
Department
Position
Home Phone
School/Dept Phone
Other Contact Info Cell Pager Email Other

 

NOTE: Please indicate below the title of classes or seminars that you are interested in. Please include a time of day, and a day of the week that you would be able to attend.

Your input and support in vital to the success of this program.

 

Class / Seminar Title Time of Day
Morning/Day/Afternoon/Evening		 Day of Week
Mon/Tue/Wed/Thurs/Fri/Sat

  

Please check one below:

   USEA Member          Non-Member   

     

We would appreciate your comments:

 

 

 

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