Grade(s) Teaching::

Subject Teaching:

School and/or School District:

Phone:

Email:

(Optional)
Name of Student (1):
Name of Student (2):

CPDUs or Graduate Credit:
40 CPDU Hours (No Fee -- Have completed TPS Level I Series -- transportation to historic sites and meals covered by TPS funding)
3 Graduate Credits ($270 -- Have completed TPS Level I Series [payment form will be mailed -- transportation to historic sites and meals covered by TPS funding)
4 Graduate Credits NOTcompleted TPS Level I Series [payment form will be mailed] -- includes tutition, transportation, and meals [4 lunches])