Helping ALL Students Succeed in Mathematics (6-12)

2003 Institute for Experienced Teachers

Registration Request

To recieve an Registration Form for the Experienced Teachers Institutes, print out this form, complete it, place it in an envelope, and return to:

Institute for Experienced Teachers
Rutgers University
SERC Building - Room 221
Busch Campus
118 Frelinghuysen Road
Piscataway, NJ 08854-8019


             NAME: _________________________________________________

     Home Address: _________________________________________________

        ____________________________________________________________

        ____________________________________________________________

       Home Phone: (______) ______________________________

Teaching Position: _________________________________________________

           School: _________________________________________________

   School Address: _________________________________________________

        ____________________________________________________________

        ____________________________________________________________

    Email Address: _________________________________________________

School Purchase Orders are Welcomed!

If you prefer, you can request more information or a Registration Form by contacting us directly.

Phone: 732/445-0841
Fax: 732/445-3477
Email: eti@dimacs.rutgers.edu

You may also download a Registraion Form in PDF format at http://dimacs.rutgers.edu/eti/applicat.pdf
(You can get Acrobat Reader at http://www.adobe.com/prodindex/acrobat/readstep.html)


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