FSA Interest Form

Thank you for your interest in learning more about Florida Scholars Academy (FSA). Please fill out the form below.

First Name *

Last Name *

Email *

Do you currently hold a Florida teaching certificate or statement of eligibility? * Yes No

Are you currently teaching in the State of Florida? * Yes No

What Florida county do you reside in? Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Desoto Dixie Duval Escambia Flagler Franklin Gadsden Gilchrist Glades Gulf Hamilton Hardee Hendry Hernando Highlands Hillsborough Holmes Indian River Jackson Jefferson Lafayette Lake Lee Leon Levy Liberty Madison Manatee Marion Martin Miami Dade Monroe Nassau Okaloosa Okeechobee Orange Osceola Palm Beach Pasco Pinellas Polk Putnam Santa Rosa Sarasota Seminole St. Johns St. Lucie Sumter Suwannee Taylor Union Volusia Wakulla Walton Washington

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