Official Seal of the California Department of Education

Form

Braille-N-Teach List Service Member Registration

Clearinghouse for Specialized Media and Technology - Curriculum Frameworks and Instructional Resources Division

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. Distribution of IMODS materials to other states is prohibited. Any books ordered through IMODS cannot be distributed and must be returned after use.

Registration Form Instructions: Please note that all fields are required unless specified optional. Once a form has been submitted, it cannot be edited further. When you have completed the form, select the "Submit" button.

If you have technical difficulty completing the form, need to make changes to your registered account, or have any general questions regarding registration, please contact Clearinghouse for Specialized Media and Technology at CSMT@cde.ca.gov for assistance.

	Registration Form Information
	Name of Educational Agency:
	First Name:
	Last Name:
	Title:
	Email Address:
	Phone Number: (999-999-9999)

I am employed by a California public school, district, or county office of education:

Yes

	Other reason for requesting registration:

	Other students I serve:

I understand and agree to the rules set by BNT:

Yes

Once you select the Submit button below, your survey responses will be sent to the California Department of Education and you will be redirected to the Clearinghouse for Specialized Media & Technology web page.