ESU 11 2018-19 Graduate Classes
This form will be used to register graduate classes you wish to take.
* Required
Name
*
Please provide us with your first and last name.
Your answer
email address
*
Please include the email account you use most often. We may be emailing you prior to the class.
Your answer
School
*
Please Enter Your School District:
All Saints Catholic School
Alma Public Schools
Arapahoe Public Schools
Axtell Community Schools
Bertrand Community Schools
Cambridge Public Schools
ESU #11
Elwood Public Schools
Eustis-Farnam Public Schools
Franklin Public Schools
Holdrege Public Schools
Loomis Public Schools
Minden Public Schools
Southern Valley Public Schools
Wilcox-Hildreth Public Schools
Other:
Home Address
*
Please provide your home address.
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Home Phone Number
*
###-###-#### -- Please Enter either a Home Phone or Cell Phone Number
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Teaching Assignment
*
Please choose all applicable teaching assignments.
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Middle School
High School
Other:
Required
Graduate Classes
*
Fall 2018: Integrating Multiple Literacies (Online Course)
Required
Please mail $35.00 registration fee to ESU #11, P. O. Box 858, Holdrege, NE 68949 Attn: Danita
Other Comments/Information:
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This form was created inside of Educational Service Unit No. 11.
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