VHS Professional Development Registration

21st Century Teaching Best Practices

Please Note: Required fields are notated with an asterisk (*).
Incomplete forms cannot be processed.

Personal Information

* Name (First Last):

* Street Address:

* City, State, Post Code:

Country:

* Phone:

* Email Address:

(This address will be used for enrollment confirmation.)

Fax:

School/Company Information

School/Company Name:

School/Company Address:

City, State, Post Code:

Country:

School/Company Phone:

School/Company Fax:

Enrollment

*Please select the course for which you would like to enroll:

21st Century Teaching and Learning - 7/10/13
Blended Teaching and Learning - 7/10/13
Web-Enhanced Classroom - 7/10/13
Web 2.0: Collaborative Instruction - 7/10/13
21st Century Teaching and Learning - 10/9/13
Blended Teaching and Learning - 10/9/13
Web 2.0: Collaborative Instruction - 10/9/13
Becoming an Online Teacher - 10/9/13

* Password:

This is the password you will use to access your VHS Professional Development course. The field has been populated with a randomly generated password. You can type something else in the field above if you prefer another password. This is your only opportunity to select a different password. You will be reminded of your password through email before the start of class.

Tuition and Payment

Either:

Enter a Promotional Code:

OR:

Enter a Group Sale Code:

OR:

Are you from a VHS Member School?

* Payment Method:

Pay Online (Credit Card)
Pay by Purchase Order (schools only)
Invoice With Group Sale Code
Please note: our online credit card processor accepts Visa, Mastercard, American Express and Discover.

* Do you intend to enroll in and complete all five of VHS' Best Practices courses?

* How did you hear about this course?

Other:

Please Note: Required fields are notated with an asterisk (*).
Incomplete forms cannot be processed.