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Texas Registry of Parent Educator Resources



Texas Registry of Parent Educator Resources
Database Registration Form
The Registry of Parent Educator Resources Database, funded by the Texas Department of Protective and Regulatory Services, provides on the Center for Parent Education website a statewide searchable database for parents, agencies, and parent educators in Texas. “Parent educator” refers to parent and family life educators, parent involvement specialists, and others.

Registration in the database increases your opportunities for resources and networking. Please fill out the form as completely as possible. Home addresses and telephone numbers will not be posted on the website
Contact Information
Full Name
       
    Last       First     MI.
Organization/Program
Office Address
       Street Name        City        State        ZipCode
Office Telephone:
( ) -  Office Fax: ( ) -
Office Email:
 Office WebSite:
Home Address
       Street Name        City        State        ZipCode
Home Telephone:
( ) -    Home Fax: ( ) -
Home Email:
I would be willing to train in the following region:
West Texas North Texas Central Texas South Texas Southeast Texas
Education: (check all that apply)
GED/Hight School Diploma Associate Degree
Bachelor's Degree:
Child Development/Family Studies Health (Specify):
Education (Specify): Psychology  
Family and Consumer Sciences Social Work
Sociology Other (Specify):
Master's Degree:
Child Development/Family Studies Psychology  
Education (Specify) Religious Education/Theology
Family and Consumer Sciences Sociology
Health (Specify): Social Work
Other (Specify):
Doctorate Degree:
Child Development/Family Studies Psychology  
Education (Specify) Religious Education/Theology
Family and Consumer Sciences Sociology
Health (Specify): Social Work
Other (Specify):

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