Curriculum & Assessment Workshops registration

Instructional Strategies for the Guidance Curriculum

(January 20, 2010)

Location: Meeting Room D, Student Union Building (third floor), Northwest Missouri State University, 800 University Drive, Maryville, MO 64468
Time: 9:00 a.m. - 4:00 p.m.
Cost: $30.00 (includes materials and lunch)

**Registration is limited to 20 participants

**Parking passes will be emailed out to the participants one week prior to the workshop

To register for the workshop simply fill out and submit this form. For additional information regarding the next workshop please contact SuccessLink by calling 1-888-636-4395

Workshop Fee: $30.00 - Member and Non-member

First Name:*

Last Name:*

Grade Level Taught: Select One
Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Administrator

School District:*

School Building:*

Billing Address:*

City:*

State:*

Zipcode:*

School Phone Number:

E-mail Address:*

Payment Method:*    Check Credit Card
(If paying by credit card please call SuccessLink at 1-888-636-4395 with your credit card number ready)

P.O. Number:*
(all registrations must be submitted with a pre-approved purchase order number to be accepted)

Cancellation Policy: The workshop registration is non-refundable; in the event you are unable to attend you may send a replacement. If you are sending a replacement please contact Becki at 1-888-636-4395 to give the name of your replacement no later than January 15, 2010.

In case of inclement weather please contact our office for workshop updates at 888-636-4395.