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Pre-Service Teacher Club Enrollment Form
* denotes required field
Eligibility
Enrollment as a pre-service teacher in a college or university is required to join.
* Expected Graduation Date
College or University Information
* School Name
* School Address
* Certification (Elementary or Secondary)
* School Phone
* School E-Mail
Personal Information
* Title
Mr.
Mrs.
Ms.
Other
* Name
* Permanent Address
Apartment
* City
* State
* Zip
* Phone
* E-Mail
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3000 N. Meridian St., Indianapolis, IN 46208-4716 · 317-334-3322
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