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CONVERSE COLLEGE

SPARTANBURG, SOUTH CAROLINA
in partnership with South Carolina Educational Communications

Content Refresher and Pedagogy Enhancement for Teachers: Calculus II
MTE 503—3 graduate credits

COURSE REGISTRATION FORM

(SEE DIRECTIONS BELOW - AT THE END OF THIS FORM)
Social Security Number: (xxx-xx-xxxx)     
Last:    First    Middle/Maiden
 Ethnic Information:     Birth date:           Sex: Male: Female:

Mailing Address:

City: State: Zip: Citizenship

Work Phone: Home Phone: email:
Other name, if applicable:

Signature of Student __________________________________________             Registration Date: ________________

 

 

 

 

 

 

DIRECTIONS

(Note: These directions are for your use and do not need to be submitted)

1.  Complete the Registration form above, PRINT it, and then mail or Fax the form with your payment.  
      This is NOT an electronic registration so your information is not submitted online.
 2. PAYMENT: South Carolina Educational Communications is responsible for the financial and logistical arrangements for this course on behalf of Converse College.

      Along with the Registration form, submit $589:
  
        a. Include a personal check or school/district Purchase Order payable to:  SC Educational Communications, Inc.    OR

        b. Include a Credit Card Payment - Click on this link to see the credit card entry form.
 
3a.  MAIL Registration form and Payment to:

    South Carolina Educational Communications
     Attn: Ms. Amy Raffo,
    401 E. Kennedy Street, #B-1
    Spartanburg, SC 29302                 OR
3b.  FAX: You can FAX your Registration form and payment (credit card form or Purchase Order) to: 864-573-7792.  
                  For FAXes only, an email confirmation will be sent upon its receipt within one business day.

4. Expect to receive your materials and DVD's within 7-10 working days from receipt of your Registration and Payment. 
    The DVD's play ONLY on DVD players (connected to a TV or one that is inside a personal computer.) A CD Player will not work.
5. A Converse College Transcript can be obtained after course completion and displays your Registration date and not the date the course is completed.
 
6.  If you have questions concerning your Registration, please contact Amy Raffo, SC Educational Communications, at:   araffo@bellsouth.net or 864-585-0102.