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ITEEA's STEM Center for Teaching and Learning EbD Products Request Form

Once this online form has been completed and saved with the required information it will be sent to Bill Bertrand, and he will send you the URL link, user names and passwords to the ITEEA Pennsylvania page which will allow you to access the ITEEA's STEM Center for Teaching and Learning EbD Products. 

If you have any questions or comments please send them to Bill Bertrand at wbertrand@pa.gov.


* = Required
Your Full Name*
Your Full Address*
Your Telephone Number*
Your email Address*
Are you a member of the Technology Education Association of Pennsylvania?*
  
  
Are you a member of the International Technology Education Association?*
  
  
School District Name*
School District Full Address*
School District Phone/Fax*
School District Web Site
Internet Address: 
Text (optional): 
Intermediate Unit*
Supt/CAO Name*
Supt/CAO Phone*
Supt/CAO email*
School Name*
School Full Address*
School Phone/Fax*
School Web Site
Internet Address: 
Text (optional): 
Principal Name*
Principal Phone*
Principal email*
Technology Education Department Head Name*
Technology Education Department Head Phone*
Technology Education Department Head email*
Technology Education Department Members*

 
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