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Download a copy of the free Adobe Acrobat Reader to view and print information provided as PDF files.
Advance registration is required for all professional workshops and courses presented by Program Development and Evaluation. Be sure to meet the registration deadlines noted in each course listing. There is no charge for these workshops for UW-Extension faculty and staff. Other attendees should contact pderegistration@uwex.edu for specific information.
This Professional Development Registration form can be completed on-line if you have a valid email address and are connected to the internet. Otherwise the registration form can be printed to fax or mail as noted at the bottom of this page.
Please provide the following information:
Name
Title/Position:
Organization/Program Area
ANRE CNRED Family Living WNEP 4-H Youth Development Other If you selected "Other" please describe:
County/Campus/Department
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail (A valid E-mail address must be provided)
Please register me for the following courses. (Please complete the entire registration form. If you do not have your own e-mail address, please supply a colleagues.)
Please notify me when new classes are available. Strategic Planning Introduction and Practice 4-day Inservice Program: September 30 - October 3, 2008 Location: Radisson Hotel, Madison Building Capacity in Evaluating Outcomes Date: October 21-23, 2008, Registration Deadline: September 30, 2008 Location: Holiday Inn and Suites, Rothschild, WI Seven Habits of Highly Effective People Date: December 2-5 2008, Registration Deadline: October 10, 2008 Location: Holiday Inn and Suites, Rothschild WI
Please notify me when new classes are available.
Strategic Planning Introduction and Practice 4-day Inservice Program: September 30 - October 3, 2008 Location: Radisson Hotel, Madison
Building Capacity in Evaluating Outcomes Date: October 21-23, 2008, Registration Deadline: September 30, 2008 Location: Holiday Inn and Suites, Rothschild, WI
Seven Habits of Highly Effective People Date: December 2-5 2008, Registration Deadline: October 10, 2008 Location: Holiday Inn and Suites, Rothschild WI
Do you have convenient access to email and the internet? Yes or No
Do you have access to a learning space that technically can accommodate simultaneous participation in an audioconference call while also using the Internet? Yes or No
Are you able to access and print Adobe Acrobat Portable Document Format (PDF) files off of the web? Yes or No or I Don't Know
How many years have you been professionally involved as an educator in: Extension and/or Non-Extension ?
What do you hope to learn from this workshop?
Accessibility needs?
Comments:
By registering for this course, I agree to the terms noted in the PD&E cancellation policy.
If your browser does not support forms you can this page and fax to (608) 262-9166 or mail it to:
pderegistration@uwex.edu 613 Extension 431 North Lake Street Madison, WI 53706 FAX: (608)262-9166
