REGISTRATION FORM MULTIPLE SUBJECT CSET REVIEW SESSIONS July 2012 Workshops

1. Support a mind, a heart, a spirit. TEACH REGISTRATION FORM MULTIPLE SUBJECT CSET REVIEW SESSIONS July 2012 Workshops Subtest I Saturday,July 14, 2012 9am-12pm Location DBH 101 Reading, Language and Literature; History and Social Science Subtest II Saturday, July 14, 2012 1pm-4pm Location DBH 101 Science; Mathematics Subtest III Sunday, July 15, 2012 9am-1pm Location DBH 104 Physical Education; Human Development; Visual and Performing Arts Please check the workshop(s) of choice and return completed registration form with registration fee ($15 per subtest) to the CSU Stanislaus Teacher Recruitment & Retention Office One University Circle DBH 322, 323 Turlock, CA 95382 *Make check payable to TRRP You may fax the registration form to (209) 664-7062. For more information drop by the Teacher Recruitment & Retention Office or contact us at (209) 667-3589 or TeacherOutreach@csustan.edu. NAME STUDENT ID ADDRESS CITY ZIP PHONE E-MAIL For Office Use Only: Paid $ Date Cash Check (payable to TRRP) Money Order Initials

2. Support a mind, a heart, a spirit. TEACH REGISTRATION FORM MULTIPLE SUBJECT CSET REVIEW SESSIONS August 2012 Workshops Subtest I Saturday,August 11, 2012 9am-12pm Location DBH 101 Reading, Language and Literature; History and Social Science Subtest II Saturday, August 11, 2012 1pm-4pm Location DBH 101 Science; Mathematics Subtest III Sunday, August 12, 2012 9am-1pm Location DBH 101 Physical Education; Human Development; Visual and Performing Arts Please check the workshop(s) of choice and return completed registration form with registration fee ($15 per subtest) to the CSU Stanislaus Teacher Recruitment & Retention Office One University Circle DBH 322, 323 Turlock, CA 95382 *Make check payable to TRRP You may fax the registration form to (209) 664-7062. For more information drop by the Teacher Recruitment & Retention Office or contact us at (209) 667-3589 or TeacherOutreach@csustan.edu. NAME STUDENT ID ADDRESS CITY ZIP PHONE E-MAIL For Office Use Only: Paid $ Date Cash Check (payable to TRRP) Money Order Initials