Reviewer Pool Registration

Under the Every Student Succeeds Act, Title IV, Part B, Sections 4204(b) and 4205, an applicant or representatives of an applicant, representatives of a named partner organization or named contractor in an application submitted under this competition, and individuals who are hired to prepare grant applications for this competition may not serve as reviewers of the Texas 21st Century Community Learning Centers, Cycle 10, Year 1 grant competition.

If you or someone you know qualifies and are interested in serving as a volunteer reviewer for the Texas 21st CCLC, Cycle 10, Year 1 competition, please register by completing this short survey. Registration does not guarantee selection to review and, if selected, the reviewer will be given the opportunity to decline if schedules don't allow the time needed. Continuing Professional Education (CPE) credit issued by the Texas Education Agency will be offered to all who serve.

We appreciate your consideration of this opportunity. If you have any questions please contact Angie Rose at 512-463-9777 or email

Name of potential reviewer

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* 1. Name of potential reviewer

Employer of potential reviewer

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* 2. Employer of potential reviewer

Position Title

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* 4. Position Title

Primary Phone Number

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* 5. Primary Phone Number

Alternate Phone Number

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* 6. Alternate Phone Number

Email Address

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* 7. Email Address

If "Other," please describe relevant experience.

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* 9. If "Other," please describe relevant experience.