Registration Information:
* = Required

*First Name:

*Last Name:

*Position:

*School:

*School District:

*Mailing Address:

*City:

*State:

*Zip Code:

*Email Address:

*School Phone Number:

Alternate Phone Number:

Additional Information (as needed)

Please check the sessions you can attend. We encourage you to attend all five:

 Behavior Screening Tools (January 31, 2012, 5 – 7pm)
 Identify Students for Tier 2 and Tier 3 Supports (February 21, 2012, 5 – 7pm)
 Improve Students’ Motivation and Engagement (March 27, 2012, 5 – 7pm)
 Improve Classroom Behavior and Increase Engagement (April 24, 2012, 5 – 7pm)
 Improve Academic Performance (May 1, 2012, 5 – 7pm)