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Program Application
Part II. Schools / School Districts Information
Please complete the relevant portions of this form. Mandatory fields are indicated in Blue.
Missing information may delay the registration process.
 (Plese enter the name for principle / superintendent)
  First name
Last name
Title
  School/Institution name School name
Position
 
  Teaching materials used
 
  School/Institution category
School/Institution type
 
  Phone number
-
-
ext.:
  Fax number
-
-
Cell number
  Address 1
Address 2
  City
  State/Province
ZIP/Postal code
Country
 (Plese enter the E-mail for principle / superintendent)
  Email address
[School(s) -
 
*** PROTECTION OF PRIVACY ***
The information requested in this form is being collected for the strict purpose of registering for the 2011 Advanced Study and Training Program on Pedagogy and Chinese Teaching Materials in China. School Information collected here will be used for registration and communication only.