Port Washington Teacher Center EDL 501 Class Registration Roster Fall 2018 Course
What is your last name?
(Please be case sensitive)
Your answer
What is your first name?
(Please be case sensitive)
Your answer
What is your personal email address?
(Please be case sensitive if applicable)
Your answer
What is your work email address?
(Please be case sensitive if applicable)
Your answer
What is your cell phone number?
(Please include area code xxx-xxx-xxxx)
Your answer
What is your home phone number?
(Please include area code xxx-xxx-xxxx)
Your answer
Have you ever taken a course at Stony Brook University before and/or been accepted to a University program?
If you are a current or former Stony Brook University student, what is your Stony Brook ID number?
(Write "?" if you are unable to recall your Stony Brook ID#)
Your answer
If applicable, what is your maiden name or do you have another last name that your incoming transcripts may be listed under?
(Write "NA" if not applicable)
Your answer
Will you be attending the first Educational Leadership Program course, starting in the Fall of 2018?
(The first course will be meeting on Tuesdays, starting on September 18, 2018 and ending on November 20, 4:00 pm - 7:45 pm)
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