Charter Development 101 - Registration

1. Charter Development 101 - Registration

Thank you for registering for Charter Development 101 offered through The Georgia Charter Schools Association. This workshop is facilitated by GCSA staff.

Space is limited to 35 participants for this workshop. Payment for training is due in full prior to facilitation.

Thank you again for your interest.

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* 1. Please complete your contact information.

Name: *

School:

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

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* 2. I am a GCSA member.

Yes

Unsure

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* 3. Please select the role(s) that you currently serve.

Petitioner/Founder

Leader/Principal/Director

Leadership Team Member

Regular Education Teacher

Special Education Teacher

Gifted Education Teacher

ESOL Teacher

Office Manager

Board Member

Other (please specify)

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* 4. Professional development course(s) for which you are registering:

Charter Development 101

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* 5. Please describe how you will be paying for Charter Development 101. The cost for this workshop is $75.00 per person. Payment must be received prior to the workshop date.

Bill me

Credit card

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* 6. If charging to a credit card, please provide the credit card information below:

Type of Card

Name on the Card

Card Number

Expiration Date

CVC Number

Billing Address 1

Billing Address 2

Amount Authorized to Charge

Question Title

* 7. If you are bringing additional participants, please list their names here:

THANK YOU FOR REGISTERING FOR CHARTER DEVELOPMENT 101! You will receive a confirmation
email shortly.