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Summer Institutes for Educators Course Enrollment Form
University of the Pacific, Benerd College
General Information
Legal first and last name:
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Middle Initial:
Preferred First Name:
Street address:
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City
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State
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Zip code
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Personal/Home Email Address:
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Phone number (numbers only)
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Date of birth
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Have you previously attended Pacific?
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Year attended
Name while you attended
Student ID number:
Subject taught
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Grade level:
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School:
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School district:
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How did you find out about this class?:
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Course Registration
Please choose the course you would like to register for from the drop down menu:
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PDSI 9930 On-demand Healing Through Personal Story Telling 1 unit
PDSI 9930 On-demand Healing Through Personal Story Telling 2 units
PDSI 9931 Bringing Hope to Youth in the Trenches 1 unit
PDSI 9931 Bringing Hope to Youth in the Trenches 2 units
PDSI 9932 Capturing Effort 1 unit
PDSI 9932 Capturing Effort 2 units
PDSI 9932 On-demand Capturing Effort 1 unit
PDSI 9932 On-demand Capturing Effort 2 units
PDSI 9933 Equity with Unity, The Power of Story 1 unit
PDSI 9933 Equity with Unity, The Power of Story 2 units
PDSI 9933 On-demand Equity with Unity, The Power of Story 1 unit
PDSI 9933 On-demand Equity with Unity, The Power of Story 2 units
PDSI 9941 Effective Teaching Principals 3 units (Livonia, MI)
PDSI 9942 Successful Approaches to Today’s Teaching Challenges (Lansing, MI)
National Conference PDSI 9940 Whole Education: Mental, Physical, Social & Emotional Learning 1 unit
National Conference PDSI 9940 Whole Education: Mental, Physical, Social & Emotional Learning 2 units
National Conference PDSI 9940 Whole Education: Mental, Physical, Social & Emotional Learning 3 units
National Conference PDSI 9940 Whole Education: Mental, Physical, Social & Emotional Learning 4 units
On Demand National Course: PDSI 9970 Are You At Your Best? Empowering (At-Home) Students to Self-Manage 3 units
On Demand National Course: PDSI 9970 Are You At Your Best? Empowering (At-Home) Students to Self-Manage 4 units
Please select your preferred grading option
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Letter Grade (A-F)
Pass/No Credit (P/NC)