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| 1. | Hello Prospective Student for the Educational Diagnostician Preparation Program:
Thank you for your interest in the EDAG Program. I’d be happy to talk with you. Prior to talking, it would be most useful if you would fill out this electronic Information Sheet. Please e-mail me at collierm@unm.edu and tell me when you completed this.
I look forward to talking with you about your interest in the EDAG Program.
Margo Collier, PhD
Associate Professor
Educational Diagnostician Program Coordinator
Department of Special Education
University of New Mexico
Collierm@unm.edu | | |
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| 3. | Best phone or cell at which to reach you | | | | | |
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| 4. | Most frequently checked email address | | | | | |
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| 6. | Date graduated/Will graduate | | | | | |
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| 11. | Date graduated/will graduate | | | | | |
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| 12. | Degree earned/earning | | | | | |
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| 15. | Do you have a teaching license? | | | | | |
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| 16. | If yes, how many years have you taught? | | | | | |
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| 17. | Other professionally related years of work: | | | | | |
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| 18. | Are you licensed in this area of work? | | | | | |
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| 19. | How many years have you worked in this area? | | | | | |
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