EDCI 639-015  Digital Natives to Digital Citizens: Strategies for Digital Literacy in Every Classroom: Registration Form
Sign in to Google to save your progress. Learn more
Title *
First Name *
Last Name *
Middle Initial
Date of Birth *
This is mandatory.
First Time Student? *
Are you taking this course for in-service credit, or graduate credit? *
If you are taking this for in-service credit, you are filling out the wrong form.  Fill out the "In-Service Registration Form".
If you are taking this for in-service credit, you are filling out the wrong form.
Primary Email Address *
Please provide the email address you primarily use outside of school.  AN AUTOMATIC EMAIL WILL BE SENT HERE IMMEDIATELY AFTER YOU SUBMIT THIS REGISTRATION FORM.
School Email Address *
You need to provide a Gmail address in order to join the class.  This may be the same as your primary address that you provided above. *
This cannot be your school address.
Does your school use Google Apps for Education? *
Street *
City *
State *
Zip Code *
Cell Phone *
School District *
Subject(s) Taught *
Grade(s) Taught *
What semester are you starting the course(s)? *
NOTE- THE COURSES ARE SELF-PACED.  YOU WILL HAVE APPROXIMATELY 6 MONTHS TO COMPLETE THE COURSE.  EXTENDED TIME WILL BE GIVEN WHEN NECESSARY.   ANDREWS UNIVERSITY WILL GIVE YOU GRADUATE CREDIT IN THE SEMESTER THAT YOU FINISH THE COURSE IN, NOT THE SEMESTER YOU START IT.
How did you hear about us? Check all that apply. *
Required
First Time Students:  Please enter the name of the person who first introduced you to Ed Technology Specialists
Enter the First and Last Name.  
After hitting "Submit", please be sure to pay your tuition.  In addition, you will immediately be sent an email (to your primary email account) with further instructions to start the class.  Please check your inbox or spam box right after you hit "submit" to receive the directions.  THANK YOU!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mallack Walsh Edtech Services. Report Abuse