Exit this survey Students Can Achieve When You Believe - April 17, 2019 Registration Form Question Title * 1. Last Name Question Title * 2. First Name Question Title * 3. Please provide the following contact information. Home Address: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code: Home or Cell Phone Number: * Question Title * 4. School Email Address Question Title * 5. School District Name Question Title * 6. School Name Question Title * 7. Grade and/or subject area Question Title * 8. I am Clinical Faculty A MSUNER Associate Not Clinical Faculty, but I am a teacher/administrator in a MSUNER district You have registered for:Title: Students Can Achieve When You BelieveDate: April 17, 2019Time: 4:30 PM - 7:30 PMLocation: Memorial Middle School- Room 301 - 500 Ridge Road Cedar Grove, NJ 07009 Instructor: Lia Caravella & Nicole DeFilippoThis mini-course will provide educators with an array of tools to help struggling students. This course will offer various techniques to assist students with the ways they are thinking and learning. With this course you will be able to bring back a pocket full of tips to ensure that your students will enjoy being in the classroom and become successful learners. Appropriate for all P-12 educators. Confirmation of Enrollment:Please provide your school email address to receive a confirmation prior to the start of the course. Waiting ListsIf a mini-course is full, you will be notified that you have been placed on a waiting list and advised if space becomes available.Questions? Please email the MSUNER office, msuner@mail.montclair.edu, and we will be happy to assist you. PLEASE NOTE YOU WILL NOT RECEIVE AN AUTOMATIC CONFIRMATION UPON THE SUBMISSION OF THIS FORM. For your records, please print a copy of your registration before you click on the "Submit" button. If you register for this mini-course you must attend. Failure to do so will impact your eligibility to attend future MSUNER events. Submit