TITLE:
MEM-.5841.0 ATTACHMENT D
September 5, 2012
NEW TEACHER SUPPORT PROVIDERS NOT NEEDED AT THE SCHOOL SITE
2012-2013 SCHOOL YEAR
Name of School: Educational Service Center: School Phone Number: School Fax Number:
Principal’s Name:
Signature:
UTLA Representative’s Name:
Signature:
The following teachers have been selected eligible to serve as New Teacher Support Providers for the 2012-
2013 school year, but are not needed at this school site and are willing to accept an assignment within close proximity to the school:
|Name |Employee Number |LAUSD Email Address |
| | | |
| | | |
| | | |
Important Reminder:
Please list only those teachers who met the eligibility criteria and are willing to travel.
Email this form to peggy.presley@ or FAX to (213) 241-5494 Attn: Peggy Taylor Presley
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LOS ANGELES UNIFIED SCHOOL DISTRICT
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