Enhancing post-secondary developmental education to improve student learning

April 14 & 15, 2005

Thursday, April 14 at Jackson Community College Potter Center

Click here for directions to Jackson Community College Potter Center

Friday, April 15 at Baker College of Jackson

Click here for directions to Baker College of Jackson

Conference Registration Form

Please print the following and return your completed Registration Form no later than March 25, 2005 to:

MDEC 2005 Registration Form

 Please type or print clearly:

Name: _________________________________________

Institution: _______________________________________

Address: ________________________________________

City/State/Postal Code: _____________________________

E-mail address: ____________________________________

Phone (please include area code): ______- ______ - _______

Fax: ______- ______ - _______

Please indicate:

_____ Faculty _____ Teaching & Administration

 _____ Administrator _____ Full-Time Graduate Student**

Title: ________________________________

Area of Interest: ___ Math ___ Reading ___ Writing ___ ESL___ Program Design ___ Assessment___ Student Support ___ Tutoring

** Full-time graduate students should contact Barbara Kenyon via e-mail regarding scholarships.

Please check only one:   

___    Full conference & membership*:    $110.00

 

___    One-day only & membership*:         $85.00

Please circle one:       Thursday Only   or   Friday Only

 

___    Membership only                              $20.00

            TOTAL ENCLOSED $ _______

 * Registration fee includes all meals and breaks. 

To assist our conference planners with meal counts, please mark the following meals you will be attending.  If a vegetarian meal is desired, please mark with a clear “V”.  Otherwise, mark your choice with an “X”.

___ Continental Breakfast  (Thursday, April 14 @ 8:00 am)

___ Special Pops Meeting & Lunch  (Thursday, April 14 @ 12:00 pm)

___ Continental Breakfast  (Friday, April 15 @ 8:00 am)

___ Luncheon   (Friday, April 15 @ 12:15 pm)

 The last day of registration by mail is March 25, 2005.   No registrations will be accepted unless accompanied by the registration fee. On site registration will be available.

Please make checks payable to MDEC.    Cash, checks or purchase orders can be accepted – sorry no credit cards.