Tenure Registration Form

REGISTRATION FORM - Fall 2007

Tenure - Developing a Culture of Quality and Accountability

Superintendents and Board members anticipating or currently involved in teacher discipline matters

Principals and other members of the district’s teacher evaluation and discipline team

     Fall 2007 Dates and Locations - Choose From Two Locations
         9:00 AM to 2:30 PM (with lunch)

____ Eastern New York - Monday, December 10, 2007
          NEW LOCATION: Saratoga Springs City Schools, Saratoga Springs, NY

____ Central New York - Tuesday, Tuesday, December 11, 2007
          OSU, Education Center, Phoenix (Syracuse area), NY

NAME OF SCHOOL DISTRICT: _____________________________________________

ADDRESS: ________________________________________________________________

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

CONTACT E-MAIL ADDRESS (print clearly): _______________________________________

NAMES OF PARTICIPANTS:   ___________________________

                                                    ___________________________

                                                    ___________________________

                                                  ___________________________

Cost - The cost of the workshop is $195 for one person and $175 per person for the second and subsequent participants from the same school district. This 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 # ________________ to "Greater Southern Tier BOCES" (enclose)

____ School purchase order # ___________ (enclose) (not needed for BOCES cross-contract))

____ Please bill through 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
Superintendent Support Programs; 42 Rosalyn Court; Fredonia, NY 14063

QUESTIONS: State Office (716) 672-5473