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 828-262-2360 828-262-7634 (FAX)
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