Non-Lotus notes email (gmail, yahoo, etc.; email confirmation will be sent) *
Tu respuesta
School Name *
Tu respuesta
Select type of school *
Address *
Tu respuesta
City, State *
Tu respuesta
Zip Code *
Tu respuesta
Cell Phone *
Tu respuesta
How long have you been in the teaching profession? *
Position *
Tu respuesta
If you are in the classroom, please list the grade(s) you teach.
Tu respuesta
Where did you hear about our workshop? *
Are you a member of the International Literacy Association? *
If you are a member of The International Literacy Association, please list your membership number.
Tu respuesta
Registration Options
Regular Registration: payment postmarked by January 25, 2019
Click here for regular registration. No refunds, however, substitutions are welcome.
Ka Hui Heluhelu Member Registration: payment postmarked by January 25, 2019
Click here for Ka Hui member registration. Membership # must be included for this registration option. No refunds, however, substitutions are welcome.
Ka Hui Heluhelu Membership Number
Tu respuesta
Administrator/Educational Officer: payment postmarked by January 25, 2019
Click here for administrators and other educational officers. Pays for refreshments only, registration fee waived. No refunds, however, substitutions are welcome.
First Year Teacher/Student Teacher/Pre-service Teacher/Retired teacher: payment postmarked by January 25, 2019
Click here for first year & student teacher. No refunds, however, substitutions are welcome.
University Cohort/Lead Instructor: payment postmarked by January 25, 2019
Click here for university cohort/lead instructor. No refunds, however, substitutions are welcome.
Late Registration: payment postmarked from January 25th - February 8th
Click here for late registration. No refunds; however, substitutions are welcome.
ONLY Ka Hui Heluhelu SY 18-19 membership **NOT ATTENDING WORKSHOP
Borrar selección
Payment
Please remit payment within 30 days. Include registrant's name to ensure payment is properly credited.
If paying with a School Purchase Order, please list the PO#. Ka Hui Heluhelu Vendor ID #103235
Please send POs with email confirmation to Ka Hui Heluhelu, PO Box 1082, Aiea, HI 96701. Please include attendees' names on PO. Vendor ID #
Tu respuesta
Check # and Bank
Tu respuesta
Personal check
Please mail payment and email confirmation to Ka Hui Heluhelu, PO Box 1082, Aiea, HI 96701. Please include attendee's name on check memo.
Credit Card
For credit card payments, please state the name of the credit card holder so we can reconcile payment.
Tu respuesta
Enviar
Borrar formulario
Nunca envíes contraseñas a través de Formularios de Google.