Adventures in Education, Inc.
5N581 Hidden Springs Dr       St. Charles          IL 60175          630-377-5035

www.adventures-in-education.com             eknowlton@adventures-in-education.com

Registration Form

Summer 2010/Fall 2010/Winter 2011

Important:  Use this form for Summer 2010, Fall 2010, and Winter 2011 registrations.

Print as many copies of this form as necessary.  One form per participant. 

Date: _____________

Last Name: _______________________   First Name: __________________________ 
Street Address:  _________________________________________________________ 
City: ____________________________    State:  ____________   Zip Code: _________
Phone: (home) _____________________  (school)
______________________________
Email: (home) _____________________  (school) ______________________________

 

Please mark the course(s) you are registering for:   

Note: The TI-83/84 textbook is the same for all courses that use the TI-83+/84+ graphing calculator and you only need to purchase one textbook if you sign up for multiple TI-83/84 courses.  The EXCEL textbook is the same for both EXCEL courses and you only need to purchase one textbook if you sign up for both these courses.

□ Math 5100: Teaching Mathematics through Multiple Intelligences (2 Quarter Credits)
Tuition: $325;  Grad Credit Fee:
$110
;  Special Fee:  NONE—free Online Course Workbook

 Math 5104: Explore Math Connections! A Curriculum for all Students of the Millennium (2 Quarter Credits)
Tuition: $325;  Grad Credit Fee:
$110
;  Special Fee:  NONE—free Online Course Workbook

Math 5110: Creative Math! A Hands-on Approach to Teaching Math Through the Standards (2 Quarter Credits)
Tuition: $325;  Grad Credit Fee:
$110
;  Special Fee:  NONE—free Online Course Workbook

Math 5120: Teaching Quantitative Literacy Through the Standards (3 Quarter Credits)  
Tuition: $395;
 Grad Credit Fee: $165;  Special Fee:  $40 (includes Quantitative Literacy textbook, USPS priority mailing, handling, and free Online Course Workbook)

 Math 5131: Multiple Intelligences and Brain-Compatible Learning in the Math Classroom (3 Quarter Credits)  
Tuition: $395;
 Grad Credit Fee: $165;  Special Fee: NONE—free Online Course Workbook
□ 
Math 5138: Teaching Statistics with Excel, Part I
(3 Quarter Credits)  
Tuition: $395;
 Grad Credit Fee: $165;  Special Fee: $40 (includes EXCEL textbook, USPS priority mailing, handling, and free Online Course Workbook)

□ Math 5139: Teaching Statistics with Excel, Part II (3 Quarter Credits)  
Tuition: $395;
 Grad Credit Fee: $165;  Special Fee: $40 (includes EXCEL textbook, USPS priority mailing, handling, and free Online Course Workbook)
□ Math 5140: How To Best Use Your TI-83+/84+ Calculator (2 Quarter Credits)
Tuition: $325;  Grad Credit Fee:
$110
;  Special Fee: $40 (includes TI-83/84 textbook, USPS priority mailing, handling, and free Online Course Workbook)

 Math 5141: Making Statistics Come Alive with the TI-83+/84+ Calculator Part I  (2 Quarter Credits)
Tuition: $325;  Grad Credit Fee:
$110
;  Special Fee: $40 (includes TI-83/84 textbook, USPS priority mailing, handling, and free Online Course Workbook)

 Math 5142:Making Statistics Come Alive with the TI-83+/84+ Calculator Part II (2 Quarter Credits)
Tuition: $325;  Grad Credit Fee:
$110
;  Special Fee: $40 (includes TI-83/84 textbook, USPS priority mailing, handling, and free Online Course Workbook)

□ Math 5144: Using the TI-83+/84+ Graphing Calculator to Teach Algebra I (3 Quarter Credits)  
Tuition: $395;
 Grad Credit Fee: $165;  Special Fee:  $40 (includes TI-83/84 textbook, USPS priority mailing, handling, and free Online Course Workbook)
Math 5145: Teaching Algebra II Using the TI-83+/84+ Graphing Calculator (3 Quarter Credits)  
Tuition:
$395;  Grad Credit Fee: $165;  Special Fee:  $40 (includes TI-83/84 textbook, USPS priority mailing, handling, and free Online Course Workbook)

Math 5147: Basic Trigonometry with the TI-83+/84+ Graphing Calculator (3 Quarter Credits)  
Tuition:
$395;  Grad Credit Fee: $165;  Special Fee:  $40 (includes TI-83/84 textbook, USPS priority mailing, handling, and free Online Course Workbook)

Math 5150: College Algebra with the TI-83+/84+ Graphing Calculator (3 Quarter Credits)  Tuition: $395;  Grad Credit Fee: $165;  Special Fee:  $40 (includes TI-83/84 textbook, USPS priority mailing, handling, and free Online Course Workbook)

Math 5152: Pre-Calculus with the TI-83+/84+ Graphing Calculator, Part I (3 Quarter Credits)  
Tuition:
$395;  Grad Credit Fee: $165;  Special Fee:  $40 (includes TI-83/84 textbook, USPS priority mailing, handling, and free Online Course Workbook)

Math 5153: Pre-Calculus with the TI-83+/84+ Graphing Calculator, Part II (3 Quarter Credits)                                                                                                                                                                   Tuition: $395;  Grad Credit Fee: $165;  Special Fee:  $40 (includes TI-83/84 textbook, USPS priority mailing, handling, and free Online Course Workbook)

Sci/Math 5160: Environmental Studies with Math Applications (3 Quarter Credits)        Tuition: $395;  Grad Credit Fee: $165;  Special Fee:  NONE—free Online Course Workbook

INST 5201: Online Pedagogy: Teaching and Designing Effective Online Courses (3 Quarter Credits)
Tuition: $395;
 Grad Credit Fee: $165;  Special Fee:  NONE

SCI 5210: Science and Math through the Standards; Level: HS & Col (3 Quarter Credits) Credit Fee: $165;  Special Fee:  NONE—free Online Course Workbook

SCI 5231: Science and Math through Multiple Intelligences and Brain-Based Learning;  Level: All (3 Quarter Credits)  
Tuition: $395;
 Grad Credit Fee: $165;  Special Fee:  NONE—free Online Course Workbook

 

Note:  Graduate Credit is awarded in Quarter Credits:
2 Quarter Credits = 1 1/3 Semester Credits (or Semester Hours)
3 Quarter Credits = 2 Semester Credits (or Semester Hours)

Graduate Credit Fee$55 per quarter credit                                                                     PSU Course Prefix CI-808 for all courses

Payment Policy

·         Graduate Credit Fee Payment: $_______ (Graduate Credit Fee only)
Make one check for each course payable to
Portland State University for Graduate Credit Fee only OR Enter Credit Card Information (see Method of Payment section below).

Method of Payment:                                                                                                                              Check  ______    School PO _________    Credit Card:   ___ Visa    ___ MasterCard                

      Acct#  _______-_______-_______-_______    Exp. Date ____/____                                            

      Print Name as it appears on Credit Card:  ___________________________________                   Signature:  ________________________________________                                                           (Note:  Credit Card acceptable for Graduate Credit Fee ONLY)

 

·         Tuition and Special Fee Payment:  $ _________ (Make one check for each course payable to Adventures In Education for combined amount of Tuition and Special Fee). Credit Cards CANNOT Be Accepted for Tuition and Special Fees payment.


Please complete the following for Graduate Credit registration:

 

Social Security Number: ________________            PSU ID #: _____________________

Gender:    Male   Female

Date of Birth: Month/Day/Year __________

Employer: __________________________________________________________________

Street Address: ____________________City:   _____________State: __ Zip Code: _______

 

What subject(s) do you teach? _____________________________________

What grade level do you teach? _______________

 

How did you hear about us? 

Email __  Flyer __  Website __  District __  Referral __  PSU Website ___  PSU Catalog __

 

Do you have a bachelor’s degree?  Yes   No                                                                                 Do you consider yourself an Oregon resident? Yes   No

For how long have you been an Oregon resident? ________                                                      Are you a US citizen? _____ If not, provide information: ________________________            Is this your first PSU registration? ______

 

 


Send registration and payment to:      

Adventures in Education                                                                                                         

5N581 Hidden Springs Dr                                                                                                            

St. Charles, IL 60175