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New User Registration

Event Information

Event Title:

SEEDS4Schools Director of Sped User Group

Agency:

CESA 6

Location:

Online

Facility:

Web

Date/Time:

10/2/2023	08:30 AM - 10:00 AM
12/5/2023	08:30 AM - 10:00 AM
2/6/2024	08:30 AM - 10:00 AM
4/18/2024	08:30 AM - 10:00 AM	(updated)

Your Name

* First Name:

* Last Name:

Preferred Badge First Name:

Work Information

* Organization Type:

WI Public School District

My building is not listed above. I want to enter my Primary Building.

* Primary Building Name:

* Address Line 1:

Address Line 2:

* City:

* State/Country:

For United States and Canada:

For Other Countries:

State:
Country:

* Zip:

School District not in WI
OR
Agency/Organization

My Organization is not listed above. I want to enter my Organization.

* Agency:

* Organization Name:

* Address Line 1:

Address Line 2:

* City:

* State/Country:

For United States and Canada:

For Other Countries:

State:
Country:

* Zip:

WI Private School

My Private School is not listed above. I want to enter my Private School.

* Private School:

* Address Line 1:

Address Line 2:

* City:

* State:

* Zip:

Individual/Parent/Other

* Email:

* This will be your login ID

* Confirm Email:

* Password:

(must be at least 6 characters long)

* Confirm Password:

* Position / Title:

* Phone Number:

Ext.

Fax Number:

* Do you Require Special Accommodations?

	Yes * Please tell us about your Special Accommodations:
	No

Home Information (Used for summer / holiday mailings)

* Home Address:

* Home City:

* Home State/Country:

For United States and Canada:

For Other Countries:

State:
Country:

* Home Zip:

Home Phone:

Cell Phone:

Home Email:

Categories You Belong To

Please select which categories are important so that we can better meet your needs - matching you to trainings and workshops that pertain to your position/role and ultimately to provide the tools and training to perform your job(s).