Instructional Services

Model Schools Registration Form

Winter 2002

Select a Course from the Dropdown List

Name  

District 

Building 

School Phone  
Home Phone  

Assignment: (Select one)

Teacher
TA
Administrator
Supervisor
Parent
Student
Other
Complete E-mail Address
Home Address



Name & Title of Approving Administrator
Fee Amount
Payment Method
 

Please complete all information and press the Submit button when finished. A confirmation screen will appear in your browser. Please print and save for your records.

Note: To receive confirmation of your registration, please provide an e-mail address. You may also call to confirm that we received your registration. You will be notified if there is a change or cancellation. Educators in non-public schools, please contact Paula C. Childs at (845) 255-1402 to receive registration information/assistance.

Cancellation Fee: $50

To avoid this fee, you must FAX (845) 255-3686 or e-mail us at least five business days in advance of the class.

Please submit one form for each participant.

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Contact Information Links Listed Below Contacts
Ms. Jane Bullowa
Assistant Superintendent for Instructional Services
Phone: (845) 255-1402, ext. 278

Ms. Paula Childs
Coordinator: Model Schools
Phone: (845) 255-1402, ext. 298

Registration icon Registration Information
You may register for any Model Schools course by filling out the online registration form, and either submitting it via the web, or by optical or print fax. The fax number is: (845) 255-3836.