Georgia CTI Affiliation
Affiliation 2024-2025
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Please enter the following information

Advisor First Name *
Last Name *
Cell Phone *
School Name *
Address 1 *
Address 2
City *  State *    Zip * 
Region *
E-Mail *
Confirm E-Mail * (Please type e-mail address again to confirm)
Phone
Fax
Transportation Mode If a Bus, will it be staying on site?
User Name *
Password *
Confirm Password *
 
 *YOUR SCHOOL SYSTEM?
 *YOUR SCHOOL PHONE NUMBER?
 *CELL PHONE NUMBER?
 *Do you have an active Program of Work (POW) with the Georgia DOE CTAE Department?
 *Do you have an active CTAERN profile linked to Intervention/CTI?
 *What is the TOTAL number of students with disabilities enrolled in CTAE courses at your high school this first semester?(This is an overall number and DOES NOT reflect only students with CTI services listed in their IEP)
 *How many total students do you serve with CTI services listed in their IEP at your high school?
 *How many are 9th graders?
 *How many are 10th graders?
 *How many are 11th graders?
 *How many are 12th graders?
 *How many are in a 5th year or more cohort?
 *Please list the name of your principal?
 *Principal's email address?
 *Please list the name of your system CTAE Director?
 *System CTAE Director's Email address?
 *List the name of your system wide Special Education Director?
 *Special Education Director email address?
 *Please share your main funding source for participation in a CTI State sponsored event?
 *Does GVRA authorizations support your students to attend CTI conferences?
 *What is the GVRA counselor's name that you directly work with to get authorizations for support?
 *What is the GVRA counselor's email address?
 *Do you have DECA at your school?
 *Do you have FBLA?
 *Do you have FCCLA?
 *Do you have FFA?
 *Do you have FIRST Robotics?
 *Do you have HOSA?
 *Do you have SkillsUSAGeorgia?
 *Do you have TSA?
 *I understand that to be officially affiliated and recognized by Georgia CTI, this form must have been submitted and $100 fee paid in full by October 1, 2024.
 *By inserting my full name below, I certify that the information provided in this form is of students with disabilities that I am serving in the CTI program at my specific high school.
 *YOUR FAVORITE T-SHIRT SIZE
 *What is your school's Facebook page?
 *What is your school's X(formerly Twitter) handle?
 *What is your school's Instagram page?
 *What is your school's LinkedIn page?
 *What makes Georgia CTI so special?
 
Completing your affiliation questions and sending the $100 affiliation fee will officially affiliate you with Georgia CTI for 2024-25 year. Contact Mary Donahue at georgiacti@gmail.com for questions!