Put the Standards into Action in Your Classroom!Registration FormNAME: ___________________________________________ Email: ______________________ ADDRESS: _______________________________________________________________________ CITY: _______________________________________ STATE: _____ ZIP CODE: _________ WORK PHONE #: _________________________ HOME PHONE #: _________________________ I would like to register for the following workshops:
Workshop Code and Title Location Date Time
1.______________________________________________________________________________
2.______________________________________________________________________________
3.______________________________________________________________________________
4.______________________________________________________________________________
5.______________________________________________________________________________
6.______________________________________________________________________________
You will be notified only if the workshops you have selected are either cancelled or over-subscribed. Send this form with a check or Purchase Order for the appropriate amount ($50 per workshop) to: Standards-Based Workshops Call Debby Toti at 732-445-2894 or email toti@dimacs.rutgers.edu if you have any questions. Registration Information
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