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For more information,

email 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:
Email: *Required

Please choose a date and location.

August 24-25, 2011 ~ KEDC, Ashland
September 7-8, 2011 ~ Kentucky Dam Village State Park
October 5-6, 2011 ~ OVEC, Shelbyville
October 26-27, 2011 ~ Clarion Hotel, Lexington
February 8-9, 2012 ~ Clarion Hotel, 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, General Counsel
Rhonda Caldwell, Deputy Director
Clyde Caudill, Legislative Liaison
Wanda Darland, Web, Publications, & Affiliate Services Coordinator
Shirley LaFavers, Director of Professional Development

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