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Application for Teachers as Scholars


Please complete this application in its entirety, make a copy for your records and submit. You will see a response indicating that your application has been received and you may begin the process of requesting the appropriate day(s) of release time from your district. If you have chosen a seminar that has already filed, you will be notified of your position on our waiting list.

Several weeks prior to the date of the seminar, the entire class will be notified via e-mail with all pertinent information regarding directions, location, parking, meals and times.

Please note the dates of each seminar, if a seminar meets twice, participants must attend both sessions. Please choose the seminar(s) you would like to attend by checking the boxes below. Seating is limited and will be determined on a first come, first served basis.







Last Name


First Name


Street


Town


State


Zip Code


Phone


E-mail


School District


Principal's Name


Principal's E-mail


For all seminars, breakfast and lunch will be served. Breakfast will be available starting at 8:30 a.m.

For more information on these seminars or on the TAS program in general, contact Sue Kwolek: 973-655-5231, kwoleks@mail.montclair.edu or MSUNER@mail.montclair.edu.