NETILO: Technology Integration Leaders of Ohio
EHHS 50093 Section 001
CRN 20261
Dr. Mandy Cenker, instructor
2020 Spring Workshop Registration Form
You are registering for one (1) graduate workshop credits at the discounted tuition rate of $150 for the credit hour. Once registered a confirmation email with online payment directions will be sent to you. Please allow 3-5 business days to process. Workshops are graded S for satisfactory and U for unsatisfactory. An S is equivalent to a B or better for graduate level work. Transcripts are FREE and available any time after May 30, 2020 by going to www.kent.edu/registrar/transcript-requests. Direct registration questions to pd@kent.edu. REGISTRATION DEADLINE Friday, February 28, 2020 PAYMENT DUE DATE TO BE DETERMINED (ONLINE PAYMENT ONLY)

*This form is secure and meets FERPA guidelines. All personal information is kept secure and is not used by anyone outside of Kent State University.*
Name *
First Name, Middle Initial, Last Name
Your answer
Other name(s)
Maiden name, etc.
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Are you a resident of the State of Ohio? *
The Non-Ohio Resident fee IS WAIVED if you are taking WORKSHOPS ONLY this semester and not registered as a guest student or in a degree program. If you are taking classes in addition to workshops, the Non-Ohio Resident fee is required. The graduate Non-Resident Fee is $376. Total amount due if nonexempt is $1,578.
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Street Address *
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City, State, and Zip Code *
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County- Ohio Residents Only
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Have you lived at this address for the last 12 months? *
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If you have lived at this address less than 12 months, please list all the addresses where you have resided in the last 12 months.
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