Principals Registration Form

REGISTRATION FORM - Spring 2007

For building principals, assistant principals, and directors!
"Winning Teachers Over to Your Side"
- Transforming Your School with Teacher Support

For building principals, assistant principals, and directors seeking to develop or strengthen a supported personal leadership style and cooperative building culture

Check one: Choose from three locations - 10:00 AM to 2:00 PM (lunch at 12:00 Noon)

____ Western New York - Monday, April 23, 2007
             Erie 2-Chautauqua BOCES - Angola, New York

____ Western New York & Finger Lakes New York - Tuesday, April 24, 2007
              Victor Central Schools – Victor (Rochester area), New York

____ Southern Tier West New York - Thursday, May 3, 2007
             Cattaraugus-Allegany BOCES - Olean, New York

NAME OF SCHOOL DISTRICT: ______________________________________

ADDRESS: ________________________________________________________

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

CONTACT E-MAIL ADDRESS (print clearly): _________________________________

NAMES OF PARTICIPANTS:   ___________________________

                                                    ___________________________

                                                    ___________________________

                                                  ___________________________

Cost - The cost of the workshop is $175 for one person and $150 per person for the second 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 school purchase order # ________________ to "Greater Southern Tier BOCES" (enclose)

____ 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