Special Education Cohort Acceptance

Special Education ATL Program Acceptance Form

In order to accept your seat and receive registration permission for Program coursework, please complete this form.

Last Name Enter your last name

First Name Enter your first name

CNM Email Address FERPA guidelines indicate that electronic communication can only be sent via student’s @cnm.edu account. You must check this account regularly. Please contact the CNM ITS Service Desk at (505) 224-4357 if you are unable to access your CNM e-mail.

District Email Address

Student ID # Enter your CNM student ID number (numbers only, no dashes)

Date of Birth Enter your date of birth

Year / Month / Day

Gender This information is for reporting use only to provide statistical information requested by various State and Federal agencies.

Ethnicity This information is for reporting use only to provide statistical information requested by various State and Federal agencies. (hold down "Ctrl" and select all that apply)

Is English your first language? This information is for reporting use only to provide statistical information requested by various State and Federal agencies.

If you answered No, please note your first language

Mailing Address Enter your mailing address

City

State

Zip Code

Phone Number Example: 5052243000

Agreement #1 By submitting this form I am accepting my “seat” in the Special Education Licensure Program.

Agreement #2 I understand that I must attend an Orientation and failure to do so may result in removal from the program.

Agreement #3 I understand that I must ensure official transcripts confirming award of my degree(s) are on file with the CNM Records Office.

Spam Check

By clicking "Submit" you are accepting your seat for the ATL SPED Program. You will be contacted within 5 business days regarding registration permission and to receive your Letter of Acceptance. Students are required to use their CNM email while in the Alternative Teacher Licensure Program. Please remember to check this account often.

Special Education Cohort Acceptance

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