ASMSA Computer Science Plus Classes Registration 2018-2019
ASMSA Digital Computer Science Plus classes are a unique opportunity for faculty members to prepare to teach computer science. They will work with our acclaimed computer science specialists to provide digital and onsite computer science education opportunities for your students.

Please complete the form below to register for our Computer Science classes for school year 2018-2019. There is no student tuition. There is a nominal $500 fee per class per year to help cover our expenses and professional development for your instructor.

Note: If your school is signing up for more than one class - please complete a form for each class.

Space for these exciting programs is limited. For additional information please contact.

Daniel Moix, ASMSA Computer Science Education Specialist
501-622-5168/moixd@asmsa.org

W. David Slaymaker, Assistant Dean for Outreach
501-622-5434/slaymakerd@asmsa.org


Participating Teacher Contact Information
I am completing this form for: *
Title *
First name *
Your answer
Last name *
Your answer
Phone number
The best number to reach you to discuss this program
Your answer
School email address *
Your answer
Home email address
Your answer
School & District Information
School district *
Your answer
School name *
Your answer
School County *
Principal name *
Your answer
Principal phone
Your answer
Principal email *
Your answer
Describe the background the teacher assigned to this class has in Computer Science
Your answer
Assigned teacher licenses & endorsements
Your answer
Estimated number of students who will be participating from your school?
Your answer
District & Teacher Obligations
Teacher Boot Camp *
I understand the selected teacher is expected to attend a "boot camp" at ASMSA. *For CS I and II please select one of the two dates offered as is best for your teacher. For CS 3 & 4 and CS+E there is only one session offered.
On-Site Teacher *
I understand that the selected teacher will be co-teaching the class with the ASMSA remote teacher
Billing Information
Name of school official to receive invoice *
Your answer
Address of school official to receive invoice *
Your answer
Billing Phone # *
Phone of person or office to be billed.
Your answer
Billing E-mail *
Email of person or office to be billed.
Your answer
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