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REGISTRATION FORM

Gifted – Online Guidance and Counseling (September 27, 2017 – November 22, 2017) No refunds will be given after September 27, 2017

Who: First priority to BPS teachers who have “waitlisted” for a seat in ProGOE² and have submitted the $100 tuition fee and this registration form to Joanne Bogle in Professional Learning and Development.

What: This is one of five Gifted Endorsement Program courses. Credits in this college-course equivalent 60-credit course will be awarded upon successful completion of the course. No partial credit will be awarded.

Where/When: This is an online course with one required face-to-face meeting on September 27, 2017 at Educational Services Facility (ESF), Computer Lab 712 from 5:00-7:00 p.m. The remainder of the course will be completed online. The course instructor is Bridget Reed.

How: Begin the registration process by placing your name on the waitlist by using Course 13953 and Section 397230 in ProGOE². Courier this registration form to Joanne Bogle, ESF and $100 tuition check (payable to Brevard Public Schools). We can accept personal checks from participants and check payments through internal accounts. Please contact Joanne Bogle if your school wishes to use an expenditure transfer to make payment through the use of district funds. Registration opens on August 3, at 6:30 A.M. and closes when 30 registration forms/checks are received.

Note: Participants will be placed in the course on a first-come, first-served basis based upon receipt of check and registration form. You will receive an email from ProGOE² when you are registered for the course. Registration is not complete until your check and registration form have been received in our office and you have a registration confirmation email from ProGOE². If no seats remain, your check will be returned to you.

Name ______

School ______

Home Address ______

City ______Zip ______

Phone (Work) (Cell) ______

Home Email

Employee ID Number

06272017JB

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