Curriculum & Assessment Workshops registration

Instructional Strategies for the Guidance Curriculum

(December 8, 2009)

Location: South Central RPDC, 800 University Drive, Rolla, MO 63501
Time: 9:00 a.m. - 4:00 p.m.
Cost: $30.00 (includes materials and lunch)

**Registration is limited to 20 participants

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 December 4, 2009.

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