Anderson Five Approved Curriculum Workshop

Anderson Five Approved Curriculum Workshop
Registration Form

Name:		District:
Home Address:		Home Phone:
City:	State:	Zip:
Email:
School Name:		School Phone:
Address:		School Fax:
City:	State:	Zip:

Strands
*Please check the box that best describes your professional responsibilities. This will assist us as we plan our sessions.

Administrators (Elementary, Middle and District level)

	Pre-K
	Kindergarten
	Grade 1-5 (All Subjects)
	Grade level taught:

	Grade 1-5 (Departmentalized)
	Grade level taught:
	Subject(s) taught:

	Grade 6 - 8 ELA
	Grade level(s) taught:
	Grade 6 - 8 Math
	Grade level(s) taught:
	Grade 6 - 8 Science
	Grade level(s) taught:

	Grade 6 - 8 Social Studies
	Grade level(s) taught:
	Grade 6 - 8 (All subjects)
	Grade level(s) taught:
	Subject(s) taught:

Have you previously used the Anderson Five Approved Curriculum?

YesNo

Registration:

$75 if received between May 1 and May 30
$125 if received June 1-June 15
$175 if received June 16-July 1
(Includes boxed lunch and snack breaks)
Registrations will not be accepted after July 1, 2008.
No On-Site Registration.

Please make check or purchase order payable to:

Anderson School District Five