Teacher Programs - TAS Registration

Seminar registration will open to all teachers on Thursday, September 8, 2011.

Please complete the form below and choose, in order of preference, the seminar(s) you would like to attend. Participants will be registered for one seminar and placed on the waiting list for all other choices. Applications will be accepted until all slots are filled.

If you have any questions or concerns about your registration, please contact Mark Hurst, Program Coordinator, at (312) 255-3714 or teacherprograms@newberry.org.

First name: *

Last name: *

Home

Address:

City:

State:

Zip:

Phone:

Contact email: *

School

School name: *

City:

State:

Zip:

Phone:

Principal name:

Grade level:

Primary teaching area:

Additional information:

Seminar selections

Seminar 1:

Seminar 2:

Seminar 3:

Participants will be notified by email within five days that this online registration form has been received. Included in the confirmation email is a form for school principals to sign indicating their awareness of staff participation in TAS and acknowledging their agreement to pay for the first day of substitute coverage for the first participant of their school. Registration IS NOT complete until all forms are completed and returned to TAS.

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