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Conferences

CMP Leadership Conference Registration Form
Michigan State University − June 21-25, 2010

  • One registration per form − Please fill out completely
  • Please note: Without check, money order or credit card charge, your registration will be returned
  • Enrollment is limited... Please register early
  • No on-site registration
  • Application must be received by May 21, 2010
  • No refunds after May 21, 2010
  • Please do not make travel reservations until you have received your confirmation. CMP is not responsible for travel booked without written confirmation from CMP.
  • After submitting this form, you will be directed to a secure payment by credit card site, if this step is not completed, you are not yet registered
  • We will refund you 100% if your application is not accepted
  • This form is also available as a PDF
    • Name: * required
    Principal's Name: * required
     
    Preferred mailing address:
    Street Address: *
    City: *
    State: *
    Zip Code: *
    Phone (home/mobile):
    Phone (work): *
    Fax:
    Preferred Email: *
    School District: *
    School Name: *

    Your current position in your school district... please check all that apply:
    Teacher
    Math Coordinator
    Mentor/Coach/Teacher Leader
    Administrator/Supervisor
    Other
    Number of years of experience teaching CMP:
    Grade 6:
    Grade 7:
    Grade 8:
    Number of teachers in your district teaching CMP:
    Number of years of experience as a professional development leader, coach, or teacher leader:
    Briefly describe your professional/leadership/coaching experience.
    Describe your district’s professional development plans, re CMP, for the next few years, i.e., the number of days planned for CMP professional development, coaching, shared planning time, etc.
    Describe the most challenging issues that you and your district are facing in the implementation of CMP. Include those that you would like to see addressed in the leadership conference.
  • No refunds after May 21, 2010
  • Please do not make travel reservations until you have received your confirmation. CMP is not responsible for travel booked without written confirmation from CMP.
  • After submitting this form, you will be directed to a secure payment by credit card site, if this step is not completed, you are not yet registered
  • We will refund you 100% if your application is not accepted