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For more information,

e-mail anne@kasa.org

or call (800) 928-5272

Cost: $225 both days

          initial or update;

          $150 one-day

          update training

 


   
 

Certified Evaluation Training Registration Form

  
 
First Name:
Middle Initial:
Last Name:
Prefix/Title: Dr. Mr. Ms.
Position:
District:
School:
Address:
City:
Zip Code:
A/C Phone:
Mobile Phone:
Fax Number:
E-mail: *Required

Please choose a date and location.

July 26-27, 2010 ~ Bowling Green

August 25-26, 2010 ~ KEDC, Ashland
September 9-10, 2010 ~ KY Dam Village State Park
November 18-19, 2010 ~ Lexington
February 3-4, 2011 ~ Lexington

CHECK ONE

If attending only one day, please specify date:

 Payment Options:

Purchase Order #

Check (Note: I've printed this form and mailed it with my check to 154 Consumer Lane, Frankfort, KY 40601)

  • All sessions have been approved for 12 hours EILA credit (for two days).

  • Cancellation Policy:  Written cancellation will be accepted until 48 hours prior to the date of the session.

  • KASA reserves the right to cancel any workshop that does not have adequate participation.

 
 
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Wayne Young, Executive Director
Rhonda Caldwell, Deputy Director
Clyde Caudill, Legislative Liaison
Shirley LaFavers, Director of Professional Development
Wanda Darland, Communications Specialist

Kentucky Department of Education logo

 Kentucky - Unbridled Spirit AASA logo
 

152 Consumer Lane
Frankfort, KY 40601
(800) 928-KASA or
(502) 875-3411

Fax (502) 875-4634