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NCTASPA Job Fair Registration Form

All fields marked with an * are mandatory

First Name*
Last Name*
Address*
City*
State*
Zip*
Email*
Present Phone*
Permanent Phone*
University*
Certification State*

OR

Enter your own if the Certification State is not in the U.S

Certification Level* Elementary Middle School High School All Level
Certification Areas*
Certified Areas Not Selected Selected Certified Areas


Other Certification Areas (use this if your Certification Area was not listed above)