Teacher Preparation Package
Date: 05/23/2013
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
04/08/2013
05/06/2013
06/03/2013
08/26/2013
09/09/2013
10/07/2013
11/04/2013
12/09/2013
03/14/2013
04/11/2013
05/09/2013
05/30/2013
08/29/2013
09/12/2013
10/10/2013
11/07/2013
12/12/2013
03/14/2013
04/11/2013
05/09/2013
05/30/2013
08/29/2013
09/12/2013
10/10/2013
11/07/2013
12/12/2013
SECCT System developed by Last Modified 05/23/2013 06:11:12 AM