MTEL Health Workshop Registration Form
Page One
1.
Please write your first name and last name
2.
The workshops are provided only for UMass Boston students. Please enter your 8-digit student ID number so that we may confirm your status
3.
On some rare occasions, we need to make changes to the location or time of the workshop. Please provide the best e-mail address for us to get in touch with you.
4.
Please provide a phone number where we may reach you.
5.
Please indicate the program in which you are currently enrolled.
Early Childhood
Elementary
Middle/Secondary
Special Education
M.Ed Non-Licensure
School Counseling
School Psychology
I am not enrolled at UMASS Boston
I don't know
6.
What degree level are you enrolled in at UMASS Boston?
Undergraduate
Graduate
Not enrolled at UMASS Boston
I don't know
7.
Please select the workshop(s) you would like to register for.
Saturday, March 13, 2010 – Room location TBD
Saturday, March 27, 2010 –Room location TBD
Saturday, April 10, 2010 – Room location TBD
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