PDST - Physics Spring 2013 Course Registration Form

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PDST - Physics

Before you register ensure that this is the correct course - ALL COURSES START AT 7 p.m. AND WILL RUN FOR 2 HOURS APPROX.

Please select One Venue *

Drumcondra Education Centre - 7pm to 9pm - 19/02/2013

Cork Education Support Centre - 7pm to 9pm - 19/02/2013

Dublin West Education Centre - 7pm to 9pm - 25/02/2013 - CANCELLED!!!!

Athlone Education Centre - 7pm to 9pm - 25/02/2013

Blackrock Education Centre - 7pm to 9pm - 26/02/2013

Sligo Education Centre - 7pm to 9pm - 26/02/2013

Navan Education Centre - 7pm to 9pm - 26/02/2013

Limerick Education Centre - 7pm to 9pm - 26/02/2013

Kilkenny Education Centre - 7pm to 9pm - 27/02/2013

Laois Centre - 7pm to 9pm - 27/02/2013 - CANCELLED!!!!!

Waterford Teachers' Centre - 7pm to 9pm - 04/03/2013

Kildare Education Centre - 7pm to 9pm - 04/03/2013

Tralee Education Centre - 7pm to 9pm - 04/03/2013

Donegal Education Centre - 7pm to 9pm - 04/03/2013

Carrick-on-Shannon Education Centre - 7pm to 9pm - 06/03/2013 - CANCELLED!!!!!

Mayo Education Centre - 7pm to 9pm - 06/03/2013

Galway Education Centre - 7pm to 9pm - 06/03/2013

Monaghan Education Centre - 7pm to 9pm - 11/03/2013

Clare Education Centre - 7pm to 9pm - 12/03/2013

West Cork Education Centre - 7pm to 9pm - 13/03/2013

Wexford Education Centre - 7pm to 9pm - 13/03/2013

Required

Part 1 - Personal Details

All details supplied will be used by PDST to improve communication and support for teachers and will not be shared or distributed to other bodies.

First Name *

Surname *

Gender *

Male

Female

E-mail Address *

Mobile Number *

Teaching Council Number *

Part 2 - Work Details

School Name (as per Department of Education list) *

School Roll Number *

School Phone Number *

Leave blank if you are unsure

School County *

Please select from list

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