REGISTRATION FORM - Fall 2007

School Board Member Training - Fiscal Responsibility and Accountability

Six hours of class - This class meets the NYS legislation requirements of Chapter 263 of the Laws of NY and Section 170.12 of the Commissioner Regulations

Saturday, September 22, 2007 - Session 1 (morning) and Session 2 (afternoon),
Haverling High School, Bath, NY
- 9:00 AM to 4:00 PM

NAME OF SCHOOL DISTRICT: _____________________________________________

ADDRESS: ________________________________________________________________

TELEPHONE: (_______) _________________ FAX: (_______) _____________________

CONTACT E-MAIL ADDRESS (print clearly): _______________________________________

NAMES AND TITLES OF PARTICIPANTS:

_________________________ / __________________________

_________________________ / __________________________

_________________________ / __________________________

_________________________ / __________________________

Costs: $150 per person. These classes are BOCES aidable through COSER 517 - direct or through cross-contract with the Greater Southern Tier BOCES. (No meal at this program.)

TOTAL AMOUNT: $ __________

Check one: METHOD OF PAYMENT

____ Check or school purchase order #________________ to "Greater Southern Tier BOCES"

____ Please bill through the Greater Southern Tier BOCES, COSER 517 as follows:

          Name of BOCES: ________________________________________________

NOTE: School districts who are not components of the Greater Southern Tier BOCES must send a written request to their BOCES District Superintendent requesting a cross-contract for Coordination COSER 517.

Superintendent's Signature: _________________________ Date: __________

FAX to: (716) 672-5472 then MAIL to:

Dr. James M. Merrins, Executive Program Administrator; Greater Southern Tier BOCES
Superintendent Support Programs; 42 Rosalyn Court; Fredonia, NY 14063

QUESTIONS: State Office (716) 672-5473