Join the APA Educator Network

To join our APA Educator Network and have your name and school/organization added to our on-line directory, please complete the form below.

As you fill in the form, please consider the following:

• The information you provide will be displayed on the web page. For this reason, we discourage you from listing home addresses and phone numbers.
• All fields are optional. The goal is for you and others to be able to network with colleagues doing similar work across the country. The more information you provide, the more beneficial it will be to you and others.
• You may have your name removed from the list at any time by sending a request to the website managers.

APA Educator Network Registration Form

First Name 
Middle Name or Initial 
Last Name 
Grad Degree (MA, PhD, EdD, etc.) 

Gender: Male Female

Job Title 

e-mail address 

Ethnic Background(s) 

Please check the APA language(s) you speak:
Chinese (Mandarin)
Chinese (Cantonese)
Other Chinese 
Hawaiian
Hmong
Japanese
Khmer (Cambodian)
Korean
Laotian
Samoan
Tagalog
Thai
Thaidam
Tongan
Vietnamese
Other Languages 

Name of School/Organization: 
Address (line 1) 
Address (line 2) 
City State Zip 

Phone Fax 

School/Organization Home Page URL: 

Personal Web Page: 

Please check off the areas below in which you have experience or interest:
Resources and Funding
Professional Development
Leadership Training and Policy Advocacy
Curriculum Development and Assessment
Home-School-Community Collaboration
Research Agenda

Comments:

Note: Please only click the Submit button once. After Submitting, please click on the Home link, or use your browsers Back button. 

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