Team Application for SEIR*TEC School Leadership in Technology Academy
Mail or fax this application form and the individual forms for team members to: Vicki Dimock, Southwest Educational Development Laboratory, 211 East Seventh, Austin, TX 78701. Fax: 512/476-2286. Download application in Word format
Application forms must be received on or before April 10, 2000.
School or District: ____________________________
Names and Position Titles of Team Members (attach an individual form for each person listed here):
Describe your student population (Percentage Free and Reduced Lunch, Percentage Limited English Proficient, Ethnicity): __________________________________
Please respond to each of the following:
A signature of a school official who has authority to commit school/district resources to support team members travel, lodging, and meals while in attendance at the SEIR*TEC School Leadership in Technology Academy is required.
My signature below indicates my full understanding of the commitment I will be making if our application is accepted. I agree that team members will be in complete attendance and will participate fully in the SEIR*TEC School Leadership in Technology Academy, June 13 - 16, 2000.
Signature Title Date
For additional information regarding the SEIR*TEC School Team Academy, please contact Vicki Dimock at 1-800-476-6861, extension 219 or by e-mail at .