5N581 Hidden Springs Dr St.
Charles IL 60175 630-377-5035
www.adventures-in-education.com eknowlton@adventures-in-education.com
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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: __________________________
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)
□ Math
5104: Explore Math Connections! A Curriculum for all Students of the
Millennium
(2 Quarter Credits) □
Math 5110: Creative Math! A Hands-on Approach to Teaching Math Through
the Standards
(2 Quarter Credits)
□
Math 5120: Teaching Quantitative Literacy Through the Standards
(3 Quarter Credits)
□ Math
5131: Multiple Intelligences and Brain-Compatible Learning in the Math
Classroom
(3 Quarter Credits)
□ Math
5139: Teaching Statistics with Excel, Part II
(3 Quarter Credits)
□ Math
5141: Making Statistics Come Alive with the TI-83+/84+ Calculator Part
I
(2 Quarter Credits)
□ Math
5142:Making
Statistics Come Alive with the TI-83+/84+ Calculator Part II (2 Quarter Credits)
□ Math 5144: Using the TI-83+/84+
Graphing Calculator to Teach Algebra I
(3 Quarter Credits)
□ Math 5147: Basic Trigonometry with the
TI-83+/84+ Graphing Calculator
(3 Quarter Credits)
□ 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)
□ 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) □ 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)
Note: Graduate
Credit is awarded in Quarter Credits: 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) 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: 5N581 Hidden Springs Dr St. Charles, IL 60175
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