Student Registration Form

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This form includes all the necessary information to create a registration record for you. The email address provided in the first space will be used to for communication regarding this registration.

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電子郵件 *

Student Information

This information is used by our education partner Brandman University to create a student record account. It will not be shared for any other purpose.

Legal First Name *

Legal Last Name *

Home Address Line 1 *

Home Address Line 2

City *

State *

Zip Code *

Date of Birth *

YYYY

Phone Number *

Catalyst Team Connection

When you register, you'll be paired with an instructor from the same Catalyst team that you or your school already works with. Start by seeing if you recognize any names and choose the corresponding team. If you still aren't sure, we'll figure that out for you later.

Which team have you worked with most recently? *

Nancy's Team--Midwest Educational Consultants or "MEC" (Nancy, Andrea, Jake, Kim, Lorena, Nati, Rachel)

Jacki's Team--Jacki Brickman, Inc. or "JBI" (Jacki, Abby, Bennice, Jamie, Jill, Marilyn, Nathan, Sasha)

I don't know -or- I've worked with both (That's ok!)

How did you get connected with us originally? *

My school or district

Attended Open-to-the-Public training

Internet search

Through another person (colleague, mentor, peer, friend, family member, etc)

其他：

Course Selection

Check the box next to each course for which you are registering.

I would like to be registered for the following courses: *

If you're not sure, refer back to https://www.thecatalystapproach.com/classes/#continuinged for specific course descriptions.

EDCU9935: Whole Group Classroom Leadership (3 credits--$360)

EDCU9742: Increasing Student Voice (3 credits--$360)

EDCU9743: Increasing Flexibility and Reducing Surprise during Instruction (3 credits--$360)

EDCU9913: Shifting the Focus from Behavior to Relationships (3 credits--$360)

EDCU9912: Proactive and Equitable Classroom Leadership (3 credits--$360)

EDCU9894: Balancing Individual Support with Group Engagement (3 credits--$360)

EDAU9780: UNIS Implementation Plan (3 credits--$360)

EDAU9781: UNIS Team Practicum (3 credits--$360)

EDCU9989: Keeping Them in the Room (3 credits--$360)

EDCU9893: Trauma Informed Case Study (3 credits--$360)

EDCU9947: Strategies for Small Group Success (1 credit--$120)

EDCU9990: Creating Classroom Environments Where Learning Thrives (1 credit--$120)

EDCU9997: Demonstration Teacher Project (3 credits--$360)

EDCU9998: Demonstration Teacher Extension (3 credits--$360)

EDCU9934: Resident Coach Application of Learning (3 credits--$360)

必填

Payment Options

We accept credit card payments or personal checks.

I would like to pay using the following option: *

Please send an invoice for credit card payment

Please send an invoice for payment by check

系統會透過電子郵件將你的作答內容複本傳送到你所提供的地址。

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