Civics Literacy Leadership Institute 2020 Registration Form

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The Western Massachusetts Writing Project is offering the 4-credit Civics Literacy Leadership Institute during the summer and fall semesters of the 2020 school year at UMass Amherst and the Collaborative for Educational Services in Northampton. To register as an individual, please complete the following form and select your payment option below. To register through a school district purchase order, please complete the form below and contact the WMWP Professional Development Coordinator at wmwppd@english.umass.edu.

Last name *

First name *

Home address *

City, state, zip *

Telephone *

School name and district *

If you are not currently working for a school or district, please indicate your current status.

Grade(s) and subject(s) *

Why are you interested in this institute? *

Please explain briefly your civics or social studies teaching experience and how this program fits into your goals for professional growth and teacher leadership.

How will you be paying the $500 WMWP registration fee? *

Please note that your registration is not complete until we receive your payment. This fee is for the institute only. Registration for graduate credits, if desired, will happen later. Please note: If you wish to register with a school district purchase order, please contact the WMWP Professional Development Coordinator at wmwppd@english.umass.edu.

Credit card - instructions will pop up after you submit this form

Personal check - instructions will pop up after you submit this form

Purchase order - please contact the WMWP Professional Development Coordinator at wmwppd@english.umass.edu.

Other:

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