CA Math Curriculum & Instruction Network Interest Form

Hosted by CORE Districts and High Tech High Graduate School of Education

District/CMO/County Office Name

First Name

Last Name

Phone

Name of District Executive Leader/County Sponsor

Email of District Executive Leader/County Sponsor

Name of District Data Leader/County Data Leader

Email of District Data Leader/County Data Leader

Name of District Math Content Leader/County Office Content Leader

Email of District Math Content Leader/County Office Content Leader

Principal / Assistant Principal #1 Name

Principal / Assistant Principal #1 Email

Principal / Assistant Principal #2 Name

Principal / Assistant Principal #2 Email

Principal / Assistant Principal #3 Name

Principal / Assistant Principal #3 Email

Math Teacher/TOSA #1 Name

Math Teacher/TOSA #1 Email

Math Teacher/TOSA #2 Name

Math Teacher/TOSA #2 Email

Math Teacher/TOSA #3 Name

Math Teacher/TOSA #3 Email

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