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New Student Notification Form
(Please note: The purpose of this form is to notify the CITIDOE director of new students applying to the program so that it is easier to track their applications. This is not a substitue for applying to the program. The application is available at http://uc.iupui.edu/uploadedfiles/span_site/cit_itcertificate.pdf and needs to be submitted to the SPAN Office.)
Teacher Last Name
Teacher First Name
Teacher School Phone
 format (999)999-9999

Teacher Email
Teacher Other Phone
 format (999)999-9999

Teacher Other Email
Name of School Corporation
Select a Semester
New Student Name and Course Number
Provide first & last name of students & courses they want to take. You may list more than one student. The curriculum & course crosswalk link lists courses.

 
 
 
      
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