Beaver Valley Intermediate Unit/University Of Pittsburgh

BEAVER VALLEY INTERMEDIATE UNIT/UNIVERSITY OF PITTSBURGH

PRINCIPALS ACADEMY 2008-2010 Commitment Form PRINCIPALS OR ASSISTANT PRINCIPALS MAY JOIN THE ACADEMY Beginning Date – late September, 2008 – exact date to be announced. Time – 8:30 AM – 2:30 PM Cost - $250.00 per year for Beaver County Schools and $500.00 per year for non-Beaver County Schools Your district will be invoiced for the first year when the Academy begins. Location – Beaver Valley Intermediate Unit and Host School Districts Fill out and Fax to Barbette Miazgowicz, 724-774-4751 School District: ______

Participant’s Name:______Please check one: Principal □ Assistant Principal □

School Building:______School Address:______E-mail Address:______School Phone #:______Home Phone # (in the event of inclement weather)______Years of Experience:______

Participant’s Name:______

Please check one: Principal □ Assistant Principal □ School Building:______School Address:______E-mail Address:______School Phone #:______

Home Phone # (in the event of inclement weather)______Years of Experience:______

Participant’s Name:______Please check one: Principal □ Assistant Principal □ School Building:______School Address:______E-mail Address:______School Phone #:______Home Phone # (in the event of inclement weather)______Years of Experience:______