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Instructions
Please provide us with the following information.
1.
School Code
2.
School Name
3.
Region
4.
First Name of the teacher assigned to teach the research course.
5.
Last Name of the teacher assigned to teach the research course.
6.
E-mail
7.
Cell Number (Optional)
8.
Department Chairperson's Name
9.
Department Chairperson's E-mail
10.
Will the teacher assigned to teach the research course attend the workshop on June 16 - 20, 2008?
Yes
No
11.
If the assigned teacher is not available, will the Department Chair be available to attend the workshop?
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