presented by the Association for the Tutoring Profession.
Facilitating
the Independent
Learner
Please
Complete the Form Below
Registration
for Summer 2010 ATP Workshop
Last Name:
First Name:
Middle Name or Initial:
Address:
Address you wish the certificate
to be mailed:
City:
State/Province:
Zip/Postal Code:
Country:
Area
Code/Day
Phone number
Area
Code/Day Fax number
E-mail Address
College or University
affiliation
Are
you currently an ATP member?
Are
you currently an ATP Affiliate or Charter member? If so, what organization?
Do you
wish to be an ATP member?
If you answered "yes" to wanting part of your
workshop fee to count towards ATP membership please complete the
ATP Membership Form.
The workshop fee is
$60.00* for ATP Members and ATP Affiliate or Charter Members.
Workshop Fee for others
$90.00*
Please make your check payable to ATP and mail your fee along with a printed
copy of the confirmation page (the page that is on screen after you click on the
submit button below) to:
Deborah Hardwick
Houston Community College
3100 Main, 3rd floor
Houston, TX 77266-7517
Questions please call
or e-mail:
Deborah
Hardwick
at
(713) 718-5340
*You
will not be officially enrolled until checks are received.
ATP Fed. ID
#80-0096151
