Extraclassroom - Summer & Fall 07 Registration Form

REGISTRATION FORM

"Best Practices for EXTRACLASSROOM ACTIVITY FUNDS"
with attention to internal fiscal controls and fund safety

for CENTRAL TREASURERS, INTERNAL AUDITORS,
FACULTY AUDITORS, and FUND ADMINISTRATORS

Check one: Choose from Six Locations

___ Southern Tier West - Thursday, August 16, 2007 - 12:30 PM to 3:30 PM
          Cattaraugus-Allegany BOCES, Olean, New York

___ Southern Tier Central - Friday, August 17, 2007 - 9:00 AM to 12:00 Noon
          Greater Southern Tier BOCES, Bath, New York

___ Mid-State New York - Tuesday, August 28, 2007 - 9:00 AM to 12:00 Noon
          OSU, Phoenix Education Center, Phoenix (Syracuse area), New York

___ WNY and Finger Lakes New York - Monday, September 24, 2007 - 12:30 PM to 3:30 PM
          Victor Central Schools, Victor (Rochester area), New York

___ Capital Region New York - Tuesday, September 25, 2007 - 9:00 AM to 12:00 Noon
          Capital Region BOCES, Albany, New York

___ North Central New York - Wednesday, September 26, 2007 - 9:00 AM to 12:00 Noon
          Jefferson-Lewis BOCES, Watertown, New York

NAME OF SCHOOL DISTRICT: _____________________________________________

ADDRESS: ________________________________________________________________

TELEPHONE: (             ) _________________ FAX: (             ) _____________________

NAME OF PARTICIPANT: _______________________________________________

                                             _______________________________________________

                                             _______________________________________________

Cost - The cost of the workshop is $175 for one person, $150 for the second participant, and $125 for the third and subsequent participants from the same school district. The workshop is BOCES aidable through COSER 517 - direct or through cross-contract with the Greater Southern Tier BOCES.

TOTAL AMOUNT: $ __________

Check one: METHOD OF PAYMENT

____ Check or purchase order # _______ to "Greater Southern Tier BOCES" (enclose)

____ Please bill through my BOCES on cross-contract with the Steuben-Allegany 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
   Administrative Support Programs; 42 Rosalyn Court; Fredonia, NY 14063

                  QUESTIONS: State Office (716) 672-5473