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CONVERSE COLLEGE

SPARTANBURG, SOUTH CAROLINA
in partnership with South Carolina Educational Communications

GEOMETRY CONTENT REFRESHER FOR TEACHERS - MTE 505


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: Country of Citizenship

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

Signature of Student __________________________________________             Date: ___________________

 

 

 

 

DIRECTIONS

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

1. Complete (type-in) in the information above and then PRINT THE FORM.     This is NOT an electronic registration so your information is not submitted online.
         NOTE: The DVDs that are sent play ONLY on DVD players (connected to a TV or one that is inside a personal computer).   A CD Player will not play these DVDs.
2.  PAYMENT: South Carolina Educational Communications is responsible for the financial and logistical arrangements for this course on behalf of Converse College.

      Submit $484 for each course:

        a. Using either a personal check or school/district Purchase Order payable to:  SC Educational Communications, Inc.    OR

        b. Credit Card Payment - Click on this link to see the credit card entry form.
            (Print and include with the registration form)
3.  Mail to: (Expect to receive your materials within 7-10 working days)

    South Carolina Educational Communications
     Attn: Ms. Amy Raffo,
    401 E. Kennedy Street, #B-1
    Spartanburg, SC 29302
FAX:  If you are using a credit card or Purchase Order you can FAX your materials to: 864-573-7792.   For FAXes only, an email confirmation will be sent upon receipt of the FAX.   If you do not receive a confirmation of your FAX within one business day please contact Amy Raffo at   araffo@bellsouth.net or 864-585-0102
4. Your Start and Completion Dates are based on the date ON THE REGISTRATION FORM next to your signature.  
    You can complete a course at any time on or before the deadline date- see Completion Schedule
    When you complete a course your grade is posted and a Transcript can be obtained within 7-10 working days.
5.  If you have questions other than Registration, contact: Dr. Stan Rachelson, srachelson@scetv.org, 770.369.1664