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Cawee Event
Test
Cawee Event Registration – Updated Version
"
*
" indicates required fields
Contact
Name
*
First Name
Last Name
Job Title
Email Address
*
Secondary 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
School District (No Acronyms)
*
School Name (No Acronyms)
*
State Region
*
Select State Region
NORTHERN COUNTIES
CENTRAL COUNTIES
SOUTHERN COUNTIES
School County
*
Alemeda
Alpine
Amador
Butte
Calaveras
Colusa
Contra Costa
Del Norte
El Dorado
Fresno
Glenn
Humboldt
Imperial
Inyo
Kern
Kings
Lake
Lassen
Los Angeles
Madera
Marin
Mariposa
Mendocino
Merced
Modoc
Mono
Monterey
Napa
Nevada
Orange
Placer
Plumas
Riverside
Sacramento
San Benito
San Bernardino
San Diego
San Francisco
San Joaquin
San Luis Opispo
San Mateo
Santa Barbara
Santa Clara
Santa Cruz
Shasta
Sierra
Siskiyou
Solano
Sonoma
Stanislaus
Sutter
Tehama
Toulumne
Trinity
Yolo
Yuba
Yolo
Yuba
School County
*
Calaveras
Fresno
Inyo
Kern
Kings
Madera
Mariposa
Merced
Mono
Monterey
San Benito
San Luis Obispo
Stanislaus
Tulare
Tuolumne
School County
*
Imperial
Los Angeles
Orange
Riverside
San Bernardino
San Diego
Santa Barbara
Ventura
Work information
School Phone (incl. ext.)
*
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School Phone (incl. ext.)
*
Address
*
Street Address
Address Line 2
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
Type of School
Traditional
Charter
Other
Work Duties
Select
Approve and or Prepare Work Permits
School Administrator
School Counselor
Teach Work Experience Education
Work Ability Staff
Other
Website (School)
Arrival Dates
MM slash DD slash YYYY
Hotel Staying at
Registration Method
*
Online Pay
PO Process
Submit PO Later
PO Number
*
Registration Fee
Price:
Payment Method
PayPal Checkout
American Express
Discover
MasterCard
Visa
Maestro
Supported Credit Cards: American Express, Discover, MasterCard, Visa, Maestro
Card Number
Expiration Date
Security Code
Total