| Application |
OK-ACTS 2004 Application Form
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| Mail to: |
Center for Educational & Community Renewal
The University of Oklahoma
640 Parrington Oval, #308
Norman, OK 73019
|
| Date: |
_______________________________________________ |
| First Name: |
_______________________________________________ |
| Last Name: |
_______________________________________________ |
| School Address: |
_______________________________________________ |
| School Name: |
_______________________________________________ |
| School District: |
_______________________________________________ |
| District County: |
_______________________________________________ |
| City: |
_______________________________________________ |
| School Zip Code: |
_______________________________________________ |
| Work Phone: |
_______________________________________________ |
| Work FAX: |
_______________________________________________ |
| Home Phone: |
_______________________________________________ |
| E-Mail: |
_______________________________________________ |
| Position: (check one) |
| ___ Elementary Principal |
___ Middle School Principal |
| ___ Secondary Principal |
___ Superintendent |
| ___ Career Tech Superint. |
___ Career Tech Principal |
|
| Leadership Seminar Preference: (check one) |
| ___ Jan. 7-8, 2004 (OKC) |
___ Feb.26 -27, 2004 (OKC) |
|
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