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Workshop Registration - Science
Please fill out the following information and press the SUBMIT button. For more information call the Golden Apple Foundation at 312/407-0006 x126. Fields marked by * are required.
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First Name:
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Last Name:
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Address:
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City:
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State:
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Zip Code:
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Email Address
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Phone Number:
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School Information
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School Name
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Address
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City
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State
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Zip Code
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Principal:
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Grades You Teach:
Check all that apply:
Pre-K - 3
4 - 6
7 - 8
9 - 12
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Subject Area(s):
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How many years of
experience do you have?:
Yes, I plan to earn graduate credit from Benedictine University.
I understand that payment for graduate credit is due on the first day of class.
(note: please contact Golden Apple to find out the cost per credit hour)
Please check the following checkboxes to indicate you have read and understand the following policies
1. Waitlist policy:
Participants are taken on a first-come-first-served basis after the receipt of payment. Once the workshop has reached 40 participants, any additional registrants will be placed on a waiting list pending cancellations. Their payments will not be processed until confirmation of an opening.
2. Cancellation policy:
Any withdrawal from the workshop must be done by June 1st to receive full reimbursement of your fees.
Cancellations after June 1st will be assessed a $30 cancellation fee.
Registration fee: $300
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I would like to pay by:
Credit Card
Check
Payments made by check should be sent to:
Golden Apple Foundation, Summer Science Workshop,
8 S. Michigan Ave, Suite 700,
Chicago, IL 60603