NKU Center for Economic Education

Professional Development Programs

REGISTRATION FORM

I am registering for the following program:   Entrepreneurship Workshop (Feb 7) - no charge Pathways to Homeownership (Feb 19)-No Charge Kentucky in the Global Marketplace (Apr 10)-No Charge

(Note: If you want to register for more than one program, please fill out a separate registration form for each one.)

Payment information (select one):   No charge for program Please send me an invoice for school payment I will send a check made out to NKU Center for Economic Education I will bring a check or cash to the workshop

First Name      Last Name

Home Street Address   

City      State       Zip 

Home Phone        Area Code   Phone 

Email address (home)                   Email address (school)  

School     School District   

School Street Address   

City      State       Zip 

School Phone        Area Code   Phone 

Grade(s) taught          Subject(s) taught 

To better serve teachers in our area, please let us know where you heard about the program?  NKU Connections Center for Economic Education website KCEE website Email sent to school Flyer circulated at school Another teacher at school Other (please specify)

If other, please note: 

You may use the space below for any comments or additional information

Thank You

If you would like additional information or will be sending a check for registration, please contact Nancy Lang, Director, NKU Center for Economic Education, Highland Heights, KY  41099.  Phone: 859-572-5155  Email:  lang@nku.edu  To register via fax, print this page and fax it to 859-572-6627.