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to Algebra I
CONVERSE COLLEGE
SPARTANBURG, SOUTH CAROLINA
in partnership with South Carolina Educational Communications
Content Refresher and Pedagogy Enhancement for Teachers: Algebra II
MTE 507—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:
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White, Non-Hispanic
Black, Non Hispanic
Hispanic
Amer. Indian
Asian
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.