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MSU Home :: Academics :: College of Education :: APSI Registration Form

Personal Information

First Name

 
Last Name 

Name Preferred on Certificate of Participation  

Home Address       

City  

State     Zip Code

Gender     

Home Phone   

Cell Phone

School Email Address

Personal Email Address 

EDUCATIONAL INFORMATION

School

School Address   

City    

State     Zip Code  

School District   

School Phone     
   
Will you be teaching an AP Class next year?   

I give permission for my local newspaper to be notified of my participation in the AP Institute and Morehead State University

       Name of Newspaper 

Workshops

The registration fee for the AP Institute is $525 per person.  There is an additional $50 lab fee for Chemistry and Environmental Science

Please Choose one of the following:   

 

Method of payment

My workshop registration will be paid in the following manner. Please indicate if more than one of the following payment methods will be used.  All checks should be made payable to Morehead State University and mailed to:

Advanced Placement Summer Institute
ATTN: Teresa Johnson
Morehead State University
100 Ginger Hall
Morehead, KY 40351

$50 LATE FEE REQUIRED FOR REGISTRATION RECEIVED AFTER FRIDAY, JUNE 27, 2014

 

The following information must be provided if your school district is to be billed for your registration

Contact Person: 

Contact's Email: 

Name of Office: 

Address: 

City:    State:    Zip Code: 

Phone Number:    Fax Number:     

Purchase Order Number:   

See APSI Information and Registration for registration deadlines and rules on Cancellations and Refunds.

Contact Information:

Tim Simpson, APSI Director, apsi@moreheadstate.edu
Phone: (606)783-2858  Fax:  (606) 783-5032
 
Teresa Johnson, APSI Assistant Director, apsi@moreheadstate.edu
Phone (606) 783-2854  Fax:  (606) 783-5032


 

 

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