Session 2 ? Registration Form
Download a PDF file of the registration form.

Please mail form along with check or purchase order to Laura Jarvis,
PBS 45 & 49, 1750 Campus Center Drive, Kent, OH 44240 by Jan. 18.

Name: ___________________________________________________________

E-mail: __________________________________________________________

District: __________________________ School: ________________________

School Address: __________________________________________________

City, State, Zip: __________________________________________________

School Phone: _________________________ Fax: _____________________

Home Address: __________________________________________________

City, State, Zip: __________________________________________________

Home Phone: ____________________________________________________

Additional information required if submitting payment for graduate credit:

Social Security Number: ______________________ Birthdate:___________

Are you a U.S. citizen? yes no

If no, provide your permanent resident # or visa type _______________

Provide name and location of college conferring your highest degree

__________________________________________ degree year ___________

(For online courses, make check or purchase order payable to PBS 45 & 49. Please send one payment per course.)

Optional University Credit

KSU credit (enclose an additional $250, made payable to Kent State University)

Courses:

Technology in the Multicultural Classroom K-8 (Computer as a Tool in Education: The Multicultural Classroom K-8)
Introduction to the Internet (Evaluating and Organizing Internet Resources and Content)
Technology in the Classroom, Grades K-2 (Computer as a Tool in Education, Grades K-2)
Balanced Literacy (An Introduction to the Underlying Principles and Research for Effective Literacy Instruction)
Seeing Math in Life Every Day (Building Math Success and Motivation for All Students K-12)
Designing an Internet WebQuest for Grades K-12 (Introduction to the Internet: Designing WebQuests for Grades K-12)
The Computer as a Tool in Education (The Computer for Person Productivity)
Balanced Literacy: Reading in the Content Areas (Teaching Reading in the Content Areas)

Download a PDF file of the registration form.