Academic Year 2009 - 2010 GESA Registration Form

GESA

 

 

Generating Expectations for Student Achievement (GESA) Facilitator Institute Registration

 

 

When:        June 30- July 2, 2009

                    The program will begin at 8:30 am

 

Where:       SUNY Oswego

                   117 Wilber Hall

                    Oswego, NY

 

Registrant

 

Name:                                                        Position:

 

TLQP Affiliation:

 

School Name & Address (Where you teach)

 

 

 

 

Phone:                                                                                             

 

Email:

 

Roommate Request:

 

Requesting rooms for the following nights:

 6/29                     6/30                      7/1

 

(Please circle those that apply)

 

 

Please  email completed form to cbluntwhite@nycap.rr.com by May 22, 2009.  Should you have questions, please feel free to contact us at

518-779-1360