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Request for Proposal (RFP): Chronic Absenteeism
Home
About
CEUs
Continuing Education Units (CEUs)
Workshops
All Workshops
MDE Sponsored
NMEC Sponsored
Online, Self-Paced Courses
Other Services
MDE Regional Service Delivery Model Information
Video Production
Facility Rental
Contact Us
Bulk Purchasing
RFP
Request for Proposal (RFP): Chronic Absenteeism
World Class Teaching Mentor Program Credit Application
World Class Teaching Mentor Program Credit Application
Please complete the below evaluation about your online course experience.
Which credit are you applying for?
*
Select your Course
World Class Teaching Program Mentor Sessions (Various)
If you are applying for the Mentor Meetings, Please select which date you have completed your Mentor Meetings.
Upload Attendence Verification
*
Accepted file types: pdf, jpg, png, jpeg, Max. file size: 64 MB.
Email Tammy Kirkland: tkirkland@olemiss.edu for attendance verification
Completion Date
*
Mentor
*
Personal Information
Name
*
First
Last
Email
*
Cell Phone
*
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Birthday (Include Year)
*
Educator ID
*
School
*
Payment Information
Which credit are you applying for?
*
CEUs
Payment Method
*
$16.50 - Credit/Debit Card
$15.00 - Check/Money Order
World Class Teaching Mentor Program
Price:
Total Due
$0.00