Teacher Preparation Package
Date: 02/12/2012
Affiliation/Organization/Institution & Department:
First Name:
Last Name):
Daytime Phone:
Email (
COMPLETE
Internet Email Address!!
jdoe@someplace.com
):
Verify Email:
Mailing Address
(Must match your billing address on your credit card statement)
:
Street Address:
Address cont.:
Address cont.:
City:
State:
Postal/Zip Code:
Country:
Status
Stony Brook Student
Stony Brook Alumni
Outside Admission
SOLAR ID
For Stony Brook Students/Alumni what year did/will you graduate:
Teacher Certifications Workshops and Seminars
Each teacher certifcation workshop is a single session course, offered monthly in the Social Behavioral Sciences building
Workshop
Time
Location
NCE 600 Child Abuse
6pm-8pm
Room N-112
NCE 601-Substance Abuse
6pm-8pm
Room N-112
NCE 602-School Violence
8pm-10pm
Room N-112
Each course is $40, payable with this form.
Please note that no refunds will be issued.
Selections
Each workshop is a one-time event. Please select the appropriate workshop(s) and the date you would like to attend each.
NCE600 -
Child Abuse
NCE601 -
Substance Abuse
NCE602 -
School Violence
09/19/2011
10/17/2011
11/14/2011
12/05/2011
01/09/2012
02/06/2012
03/12/2012
04/09/2012
05/07/2012
06/11/2012
07/16/2012
08/20/2012
09/17/2012
10/15/2012
11/12/2012
12/03/2012
09/22/2011
10/20/2011
11/17/2011
12/08/2011
01/12/2012
02/09/2012
03/15/2012
04/12/2012
05/10/2012
06/14/2012
07/19/2012
08/23/2012
09/20/2012
10/18/2012
11/15/2012
12/06/2012
09/22/2011
10/20/2011
11/17/2011
12/08/2011
01/12/2012
02/09/2012
03/15/2012
04/12/2012
05/10/2012
06/14/2012
07/19/2012
08/23/2012
09/20/2012
10/18/2012
11/15/2012
12/06/2012
SECCT System developed by Last Modified 02/12/2012 06:04:01 AM