Please fill out this form and mail it to:
Nathaniel Teich, Project Manager Oregon Writing Project Center for Advanced Technology in Education 5214 University of Oregon Eugene OR 97403-5214
PREREGISTRATION APPLICATION Name __________________________________________ Home address ___________________________________ City _______________________________ Zip _________ Home phone __________________ Social security number ___________________________ Current teaching assignments (by subject and grade level, not individual courses) * Elementary _____________ * Middle School _________________ * Junior High _____________ * High School ____________________ * College _________________ * Other _________________________ School __________________________________________ School address ___________________________________ City ______________________________ Zip ___________ School phone __________________ E-mail address ________________________________________________ Include with your address and data (above) the following material:
* a brief summary of your educational background and teaching experience, including college degrees (one page) * briefly describe your experience with computers in education, including type of systems you can use * describe one of your classroom activities involving writing (need not involve computers) that you could demonstrate to our workshop
Do you wish to be considered for the following grant awards? partial tuition scholarship for those without other support stipend for those living beyond commuting distance to campus Please sign your application as your agreement to accept the responsibilities of an institute participant. Signature _____________________________ Date ___________________________ back to OWP homepage