NCLB Title III Year 2 Seminar - Registration

Ensuring Academic Success for English Learners

Sponsored by the California Department of Education in collaboration with the California Comprehensive Center at WestEd

To register for a Year 2 Seminar complete all fields below:

First Name

Last Name

Title

CDS Number

*2 digit county code, 5 digit district code, 7 digit school code

If other than LEA participant, enter "99" as the county code and all zeros for district and school codes. For example: 99-00000-0000000.

Mailing Address

City

State

Zip

Phone Number (###-###-####)	Participant’s Email
Select LEA:	Select Location:

2008 Locations & Dates (note reservation deadlines)

Sacramento, CA - Radisson Hotel Reserve Room by October 12, 2008 $84 single rate	November 12-13, 2008
Riverside, CA - Historic Mission Inn Reserve room by October 24, 2008 $110 single rate	November 18-19, 2008

Confirm your information is correct before submitting this form. (click "submit" only once per registrant to avoid duplicates.)