Name: ______________________________________ E-mail: ___________________________________ Mailing Address: ___________________________________________________________________________ City: _________________________________________ State: _____________ ZIP: ___________________ School: _______________________________________ District: __________________________________ Day Phone: _____________________________ Evening Phone: _________________________________ Lunch Choice (sandwich): Turkey Roast Beef Ham Tuna Vegetarian Paying by (check one): Check (payable to: UC Regents) District P.O. #_________ District P.O. in progress Credit Card (via online @ http://writingproject.uci.edu) Scan and e-mail registration form with Purchase Order # to [email protected]. Or, mail registration form with check (payable to: UC regents) to UCI Writing Project, 401 East Peltason, Suite 3100, Irvine, CA 92697-5510. All registrants will receive a confirmation e-mail within 2 business days of receipt. Registration: Workshop Fee: $235 per workshop or $650 for 3-workshop bundle ($55 savings) Note: 3-workshop bundle must be made in single purchase. All workshops include parking, continental breakfast, a box lunch, and a copy of a book by the featured speaker. Workshop Selection (Check all that apply): _____Wednesday, Oct. 30, 2019 - Nicole Mirra & - Fostering Collaborative Inquiry and Civic Engagement through Youth Antero Garcia Participatory Action Research _____Wednesday, Jan. 22, 2020 - Alan November - Transforming Learning: Preparing Students for Success in the Digital Age by Promoting Digital Citizenship, Critical Thinking, and Social Emotional Intelligence _____Wednesday, Feb. 26, 2020 - Dominique Smith - All Learning is Social and Emotional: Helping Students Develop Essential Skills for the Classroom and Beyond Payment (Check total price): 1 workshop: $235 2 workshops: $470 3 workshops: $650 Please make sure to complete each field and follow the instructions at the bottom of the page. When: Schedule: Wednesday, October 30, 2019 - Nicole Mirra & Antero Garcia Coffee & Check-In: 8:30 a.m. - 9:00 a.m. Wednesday, January 22, 2020 - Alan November Conference: 9:00 a.m. - 2:30 p.m Wednesday, February 26, 2020 - Dominique Smith (More detailed information will be available closer to the date) Where: Contact: UCI Student Center For more information, please call the UCI Writing 311 W. Peltason Dr. Project at (949) 824-5922 or e-mail at Irvine, CA 92697 [email protected] Information & Registration (Registration also available online at http://writingproject.uci.edu)

Information & Registration · Day Phone: ___ Evening Phone: _ Lunch Choice ... ___Wednesday, Jan. 22, 2020 - Alan November - Transforming Learning: Preparing Students for

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Page 1: Information & Registration · Day Phone: _____ Evening Phone: _____ Lunch Choice ... _____Wednesday, Jan. 22, 2020 - Alan November - Transforming Learning: Preparing Students for

Name: ______________________________________ E-mail: ___________________________________

Mailing Address: ___________________________________________________________________________

City: _________________________________________ State: _____________ ZIP: ___________________

School: _______________________________________ District: __________________________________

Day Phone: _____________________________ Evening Phone: _________________________________

Lunch Choice (sandwich): Turkey Roast Beef Ham Tuna Vegetarian

Paying by (check one):

Check (payable to: UC Regents) District P.O. #_________ District P.O. in progress Credit Card (via online @ http://writingproject.uci.edu)

Scan and e-mail registration form with Purchase Order # to [email protected]. Or, mail registration form with check (payable to: UC regents) to UCI Writing Project, 401 East Peltason, Suite 3100, Irvine, CA 92697-5510. All registrants will receive a con�rmation e-mail within 2 business days of receipt.

Registration:

Workshop Fee:

$235 per workshop or $650 for 3-workshop bundle ($55 savings)

Note: 3-workshop bundle must be made in single purchase.

All workshops include parking, continental breakfast, a box lunch, and a copy of a book by the featured speaker.

Workshop Selection (Check all that apply):

_____Wednesday, Oct. 30, 2019 - Nicole Mirra & - Fostering Collaborative Inquiry and Civic Engagement through Youth Antero Garcia Participatory Action Research

_____Wednesday, Jan. 22, 2020 - Alan November - Transforming Learning: Preparing Students for Success in the Digital Age by Promoting Digital Citizenship, Critical Thinking, and Social Emotional Intelligence

_____Wednesday, Feb. 26, 2020 - Dominique Smith - All Learning is Social and Emotional: Helping Students Develop Essential Skills for the Classroom and BeyondPayment (Check total price):

1 workshop: $235 2 workshops: $470 3 workshops: $650

Please make sure to complete each �eld and follow the instructions at the bottom of the page.

When: Schedule:Wednesday, October 30, 2019 - Nicole Mirra & Antero Garcia Co�ee & Check-In: 8:30 a.m. - 9:00 a.m.Wednesday, January 22, 2020 - Alan November Conference: 9:00 a.m. - 2:30 p.mWednesday, February 26, 2020 - Dominique Smith (More detailed information will be available closer to the date)

Where: Contact: UCI Student Center For more information, please call the UCI Writing 311 W. Peltason Dr. Project at (949) 824-5922 or e-mail at Irvine, CA 92697 [email protected]

Information & Registration

(Registration also available online at http://writingproject.uci.edu)