Technician Workshop Registration Form


The State Department of Education will be holding a Technician workshop on July 14-16, 2009.
The workshop will be held at Boise State University. It is the same location as the workshop last year.
More information about the workshop location will be provided at the end of the registration process.
The fee for this workshop is $125 per person and is reimbursable on your district's annual reimbursement
claim form under "travel expenses-registrations."



First Name: * **
Last Name: * **
Address: * **
City: * **
State: * **
Zip: * **
Title: *
Email address: * **
School District: *
Phone: *
Fax:

* Required Fields
**The way the name appears on the registration form is the way it will appear on the certificate.
The e-mail address and address will be used for billing and certificate distribution purposes.

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