MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01CA5EC2.2FE93740" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01CA5EC2.2FE93740 Content-Location: file:///C:/9E74CAAD/SubstituteWorkshopRegistrationForm.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Substitute Workshop Registration Form

Kean<= /st1:PlaceName> University

Col= lege of Education

Tea= ching Performance Center

110 Willis Hall –= ; Union, = NJ  07083=

 

Substitu= te Teacher Certification Workshop

Monday, December 7, 20= 09

CAS, Room 118-120=

 

STUDENT RESPONSE FORM

 

Student Name: ______________________________________________________________

 

Street Address: ______________________________________________________________

 

City/Town/Zip: ______________________________________________________________

 

Telephone: _________________________________________________________________

 

Kean ID Number: ______________________________________= _____________________

 

Email Address: ______________________________________________________________

 

 

Please choose one time period to attend a free, 45-min= ute Substitute Certification Workshop:

(Space is limited to 25 participants in each time p= eriod)

 

_________ 3:30 – 4:15 p.m. 

_________ 4:30 – 5:1= 5 p.m.

_________ 5:30 – 6:1= 5 p.m.

_________ 6:30 – 7:1= 5 p.m.

 

 

 

________________________________________        &= nbsp;       __________________________= _

Student Signature        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           Date<= /p>

 

Please return this form to the Teaching Performance Center, 110 Willis Hall, Union, NJ  <= st1:PostalCode w:st=3D"on">07083

on or before December 2, 2009.

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= O:\KEANDOCS\Substitute Certification\Workshops\Substitute Certification Response Form - NonPDS.doc=

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