CALIFORNIA DEPARTMENT OF EDUCATION
Curriculum Frameworks and Instructional Resources Division
Clearinghouse for Specialized Media and Technology
1430 N Street, Suite 3207
Sacramento, CA 95814
Phone 916-445-5103 Fax 916-319-0172
Braille-N-Teach List Service
Member Registration Form
The purpose of Braille-N-Teach List Service (BNT) is to exchange ideas, share materials, provide
resources, and support one another professionally.
Rules: Electronic etiquette is expected of all users. In registering with BNT, I agree to use the
service only for professional purposes. Selling, or advertising products or services is forbidden.
Posting of resumes or other material not related to this service is prohibited
Registration Form
To become a registered user of BNT complete the registration form below and email it to
CSMT@cde.ca.gov
Name of Educational Agency:
First Name:
Last Name:
Title: Email:
Phone:
I am employed by a California public school, district, or county office of education.
Yes No
Other reason for requesting registration:
I serve students who are: (select all that apply)
Visually Impaired
Hearing Impaired
Learning Disabled
Deaf / Blind
Orthopedic Impairment
Multiple Disabilities
Other
I understand and agree to the rules set by BNT.
Signature:
Date:
Revised 10/2020
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signature
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