REGISTRATION FORM

I AM INTERESTED! Please send me information about the 2006 Cohort for Advanced Studies in Student Learning.

Name:
Home Address:	Home Phone:
	Home email:
School/District Name:	School Phone:
School Address	School Email:
Position Held:	Content Area:

Mail to Prof. Linda Jordan, Hope College, P.O. Box 9000, Holland, MI 49422-9000 Contact Information: Linda Jordan Phone: 616-395-7740 Fax: 616-395-7506 Leslie Wessman Phone & Fax: 616-335-8983 Email: wessman@hope.edu or jordan@hope.edu