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Newsletter Subscription Form for Professionals

To receive our free "paper" publication Innovations & Perspectives, please complete the following information.

Paraprofessionals, office staff, and professionals outside out of the catchment area of Regions 1 and 8 may access the newsletter through the VCU T/TAC website.

Name:	*Required
Job Title:	*Required
Program Affiliation:	*Required
Disability Area Served:	*Required
County/City of School/Program	*Required
School/Program	*Required
School/Program Address:	*Required
E-Mail address	*Required

(In an effort to conserve resources, we are asking professionals for their email addresses (home or work). This will allow us to maintain an email database to send out notifications and information concerning T/TAC events as well as notifying you when the most current Innovations & Perspectives has been added to our website)

**NOTE: Due to difficulties with maintaining current contact information, professionals employed by school divisions and/or programs must receive newsletters at their business addresses.

PLEASE make sure you have filled in ALL of the fields above before you submit!

VDOE Training and Technical Assistance Center @ Virginia Commonwealth University Partnership for People with Disabilities \| School of Education Region 1: 10 E. Franklin St. - Suite 200, Richmond, VA 23219 (804) 828-6947 Region 8: Pickett Park, 440 QM Circle, Blackstone, VA 23824 (434) 292-3723 Copyright � 2007 VCU Training and Technical Assistance Center \| Last Update: February 12, 2008