Training for the Professional Educator
5N581 Hidden Springs Dr St. Charles IL 60175 630-377-5035 eknowlton@adventures-in-education.com
Registration Form - Graduate Courses 2008/2009
Print as many copies of this form as necessary. One form per participant.
Date:_____________
Last
Name:__________________
First Name:_______________ Middle
Initial:____
Street
Address:_________________________________________________________
City:
____________________________
State: ____________ Zip Code: _________
Phone: (home) _____________________ (school)
______________________________
Email: (home)
_____________________ (school) ______________________________
□
Course Math 5100: Teaching Mathematics through Multiple Intelligences
Tuition:
$290 + Grad Credit Fee: $100
($110 starting Fall 2008) (2 Quarter Credits)
Special Fee: $25 (includes course materials, USPS priority mailing, and
handling)
Tuition: $290 + Grad Credit Fee: $100 ($110 starting Fall 2008) (2 Quarter Credits)
Special Fee: $25 (includes course materials, USPS priority mailing, and handling)
□ Course Math
5110: Creative Math!
Tuition:
$290 + Grad Credit Fee:
$100
($110 starting Fall 2008)
(2 Quarter Credits)
Special Fee: $25 (includes course materials, USPS priority mailing, and
handling)
□
Course Math 5120: Teaching Quantitative Literacy Through the Standards
Tuition:
$340 + Grad Credit Fee: $150
($165 starting Fall 2008)
(3 Quarter Credits)
Special Fee: $40 (includes course
materials, USPS priority mailing, and handling)
□
Course Math 5131: Multiple Intelligences and Brain-Compatible Learning
in the Mathematics Classroom
Tuition: $ 340 + Grad Credit Fee:
$150
($165 starting Fall 2008)
(3 Quarter Credits)
Special Fee: $25 (includes course materials, USPS priority mailing, and
handling)
□ Course Math 5138: Teaching Statistics with Excel Part I
Tuition: $340 + Grad Credit Fee:
$150
($165 starting Fall 2008)
(3 Quarter Credits)
Special Fee: $40 (includes course materials, USPS priority mailing, and
handling)
□ Course Math 5139: Teaching Statistics
with Excel Part II
Tuition: $340 + Grad Credit Fee:
$150
($165 starting Fall 2008)
(3 Quarter Credits)
Special Fee: $40 (includes course materials, USPS priority mailing, and
handling)
□ Course Math 5140: How To Best Use Your
TI-83+/84+ Calculator
Tuition: $290 + Grad Credit Fee:
$100
($110 starting Fall 2008) (2 Quarter Credits)
Special Fee: $40 (includes course
materials, USPS priority mailing, and handling)
□
Course Math 5141: Making Statistics Come Alive with the TI-83+/84+
Calculator Part I
Tuition:
$290 + Grad Credit Fee:
$100
($110 starting Fall 2008) (2 Quarter Credits)
Special Fee: $40 (includes course materials, USPS priority mailing, and
handling)
□
Course Math 5142: Making
Statistics Come Alive with the TI-83+/84+
Calculator Part II
Tuition:
$290 + Grad Credit Fee:
$100
($110 starting Fall 2008)
(2 Quarter Credits)
Special Fee: $40 (includes course materials, USPS priority mailing, and
handling)
□ Course Math 5144: Using the TI-83+/84+ Graphing Calculator to Teach Algebra I
Tuition: $340 + Grad Credit Fee: $150 ($165 starting Fall 2008) (3 Quarter Credits)
Special Fee: $40 (includes course materials, USPS priority mailing, and handling)
□ Course Math 5145: Teaching Algebra II Using the TI-83+/84+ Graphing Calculator
Tuition: $340 + Grad Credit Fee: $150 ($165 starting Fall 2008) (3 Quarter Credits)
Special Fee: $40 (includes course materials, USPS priority mailing, and handling)
□
Course Math 5147:
Basic Trigonometry with the TI-83+/84+
Graphing Calculator
Tuition:
$340 + Grad Credit Fee:
$150
($165 starting Fall 2008)
(3 Quarter Credits)
Special Fee: $40 (includes course
materials, USPS priority mailing, and handling)
□
Course
Math 5150:
College Algebra
with the TI-83+/84+ Graphing Calculator
Tuition:
$340 + Grad Credit Fee:
$150
($165 starting Fall 2008)
(3 Quarter Credits)
Special Fee: $40 (includes course
materials, USPS priority mailing, and handling)
□ Course
Math 5152:
Pre-Calculus with the TI-83+/84+ Graphing
Calculator,
Part I
Tuition:
$340 + Grad Credit Fee:
$150
($165 starting Fall 2008)
(3 Quarter Credits)
Special Fee: $40 (includes course
materials, USPS priority mailing, and handling)
□ Course
Math 5153:
Pre-Calculus
with the TI-83+/84+ Graphing Calculator,
Part II
Tuition:
$340 + Grad Credit Fee:
$150
($165 starting Fall 2008)
(3 Quarter Credits)
Special Fee: $40 (includes course
materials, USPS priority mailing, and handling)
□
NEW!!
Course Sci/Math 5160:
Environmental Studies
with Math Applications
Tuition:
$340 + Grad Credit Fee:
$150
($165 starting Fall 2008)
(3 Quarter Credits)
Special Fee: $25 (includes course
materials, USPS priority mailing, and handling)
□
Course INST 5201:
Online Pedagogy: Teaching and Designing
Effective Online Courses
Tuition:
$340 + Grad Credit Fee:
$150
($165 starting Fall 2008)
(3 Quarter Credits)
Special
Fee: $25 (includes course materials, USPS priority mailing, and handling)
Tuition: $340 + Grad Credit Fee: $150 ($165 starting Fall 2008) (3 Quarter Credits)
Special Fee: $25 (includes course materials, USPS priority mailing, and handling) □ Course SCI 5231: Science and Math through Multiple Intelligences and Brain-Based Learning; Level: All
Tuition: $340 + Grad Credit Fee: $150 ($165 starting Fall 2008) (3 Quarter Credits)
Special Fee: $25 (includes course materials, USPS priority mailing, and handling) 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)
Please note that a new Payment Policy is in effect!
·
Register with Graduate Credit: $ _________ (Tuition + Grad Credit Fee)Make one check for each course payable to Portland State University for the combined amount OR Enter Credit Card Information Below.
·
Register without Graduate Credit: $_______ (Tuition only)Make check payable to Adventures In Education for tuition only.
Credit Cards Cannot Be Accepted If You Are Registering without Graduate Credit.
·
Special Fee(s): $ _______ Special Fees must be paid for each course taken.Make one check for the total amount of special fees for all courses in which you register, payable to Adventures In Education.
Credit Cards Cannot Be Accepted For Special Fees.
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 for Tuition + Graduate Credit Fee ONLY)
Please complete the following for Graduate Credit registration:
Social Security Number: ________________ PSU ID #: _____________________
Gender: Male Female
Date of Birth: Month/Day/Year __________
Employer: _________________________________
Employer Address: _____________________________________________
What subject(s) do you teach? _____________________________________
What grade level do you teach? _______________
How did you hear about us? Email ___ Flyer ___ Website ___ District ___ Referral ___ PSU ___
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