Mathematics Education Leadership Training Institute Registration Form    Summer, 2008

 

Teachers attending without a scholarship are encouraged to seek support from their district offices.   Register early

to ensure space in the institutes. Please type or print clearly.

 

Name: __________________________________          E-Mail: _____________________________________  

 

Address:   __________________________________________________________________________________

 

School:    _________________________________        District/County:   ______________________________

 

Day Phone:   ______________________________         Evening Phone:   _____________________________

 

FAX Number:   _____________________________

 

Registration

Institutes meet all day for the week; cost is $330 per

institute. Check those you wish to attend.

__Advanced Functions & Modeling (16-20 June)

__Integrating Middle School Math (16-20 June

__Exploring Math w/ TI- n spire (23-27 June)

__Integrated Math I & II (23-27 June)

__Algebra (7-11 July)

__Purposeful Pedagogy (7-11 July)

__Discrete Mathematics (14-18 July)

__Geometry (14-18 July)

 

Tee Shirts

Select one size.

__ S __ M __ L __ XL __ XXL ___ XXXL

 

 

Housing/Meals

Lunch is included with each institute.

__ housing & breakfast/dinner ($270.50 per week

     2 persons/suite)

__ breakfast/dinner ($85 per week)

__ no housing or meals needed

 

 

Academic Credit

Prices below are per institute.   If not currently

enrolled in Appalachian, you will need to apply and

pay the $45 application fee.

__CEU credit (no charge)

__in-state undergraduate tuition ($270.50)*

__in-state graduate tuition ($332.50)

__out-of-state undergraduate tuition ($782.50)

__out-of-state graduate tuition ($878.50)

*All tuition costs are paid directly to the Cashier's Office at Appalachian State University  

 

Enrollment Information

__I am/will be enrolled at Appalachian Spring 2007.

__I am/will be graduating from Appalachian Spring

    2008.

__ I have not applied to Appalachian.

Fees Paid

Please make checks payable to Appalachian State

University or attach a purchase order.

 

 

Total Registration Fees*:   ______________

Housing/Meals/Parking:    ______________

Grand Total              ______________

 

*(Tuition costs are paid directly to the

   Cashier's Office, ASU)

* Cancellations after June 2 forfeit registration fees.

 

 

Send completed form with payment to :

Diana Ward

MELT Program

Department of Mathematical Sciences

Appalachian State University

Boone, NC 28608-2092 USA

 

 

Questions may be directed to

  wardrd@appstate.edu

  jonesd@appstate.edu

  828-262-2360

  828-262-7634 (FAX)