CHARTER START! 101 WORKSHOP
Registration Form

Please fill out the following form to register for the Charter Start! Workshop. We will also use this information to send all participants a Certificate of Attendance.

Final date to register is September 25, 2009

Please choose one:

Attending Board Training Attending Workshop

The names of each participant:

Participant 1

Name:
Address:
Email:
Phone:

Participant 2

Name:
Address:
Email:
Phone:

Participant 3

Name:
Address:
Email:
Phone:
Are you currently drafting a petition for a Charter School?

Yes no

Possible name of Charter School and City:
Name:
City:
Who is your target population and grade level:
Target Population:
Grade Level:

For questions, please contact:
Lori Howard
lahoward@sde.idaho.gov
Fax: (208) 334-2228 / Phone: (208) 332-6902