TLU APSI Enrollment Form

Enrollment Form for 2008 TLU Advanced Placement Summer Institute
Directions:

Complete the following enrollment form online by inputting the required information in each block of the form.
Your online enrollment form must indicate your method of payment: purchase order from your school, personal check, money order, or credit card.
Upon receipt of your enrollment form, your space in the workshop is confirmed. Incomplete enrollment forms will not secure enrollment in the Institute.
When you have completed the form, click on Submit.
You will receive a notification confirming your enrollment. This message will include important information, so please be sure to print and save it.
Within two weeks of your online enrollment, you must submit one of the following:

Mail or fax your school’s purchase order
Mail a personal check
Mail a money order
Mail or fax your credit card information

IMPORTANT*
FEES: The deadline for enrollment is June 13. There is a $50 fee for processing each change after June 13. Changes include, but are not limited to, late/new enrollments, substituting participants, and cancellations. Refunds on cancellations, minus the $50 processing fee, will be given through June 30. Cancellations after June 30, and No Shows must pay the full amount of tuition. All changes must be sent in writing via e-mail or mail before the deadlines listed above. No telephone changes will be accepted.

Texas Lutheran University
Center for Professional Development
Tschoepe Hall, Room 125
1000 West Court Street
Seguin, Texas 78155
Phone: (830) 372-8047
Fax: (830) 372-8042
Email: apsi@tlu.edu

Applicant Info	First Name:		Last Name:
	Gender:	Male Female	Email: Confirm Email:*	(E-mail)
	Address:
	City:		State:	Zip: (ZIP Code)
	Home Phone:	(Phone Number)	Cell Phone:	(Phone Number)
	Grade Level:*	High School Middle School	Years of Teaching Experience:
School Info	School Name:		School Email:
	School Phone:	(Phone Number)	Confirm School Email:
	School Address		School Fax:	(Phone Number)
	School City:		School State:	School Zip: (ZIP Code)
District Info	District Name:
	District Phone:	(Phone Number)	District Fax:	(Phone Number)
	District Address
	District City:		District State:	District Zip: (ZIP Code)
Payment Method	Mail Check Mail Credit Card Fax Credit Card Mail P.O. Fax P.O.
		PO Number: PO From: School District
Select Courses		Week One Courses (July 14-18, 2008)		Week Two Courses (July 28- Augus 1,2008)