Initiatives in Educational Transformations

helping teachers change the world

A George Mason University Program

IET Team Information Form

My Personal Information

Last Name: First Name:
NickName: E-mail Address:
Home Address: Home City:
Home State: Home Zip Code:
Home Phone Number (No Hyphens):

My School Information

School Name: School District:
School Address: School City:
School State: School Zip Code:
School Phone Number (No Hyphens):

My Teammates are: (At least one required)

Last Name: First Name: Email Address:
Last Name: First Name: Email Address:
Last Name: First Name: Email Address:
Last Name: First Name: Email Address:
Last Name: First Name: Email Address:
Last Name: First Name: Email Address:

I prefer to take my classes at :

Prince William Campus
Arlington Campus

I acknowledge that successful completion of IET curriculum requires: Unrestricted internet access, email capability, MS Office proficient (Word, MS PowerPoint etc.).


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