Registration Form
Professional Learning Communities Coaching Academy
Dates: October 17, 2011; December 5, 2011; March 12, 2012; April 16, 2012
Location: 204 Kent Student Center Kent State University Kent, Ohio
Presenter: Anthony Muhammad, Ph.D.
School District:
Name of School _______________________________________ Phone # _____________________________________________
Contact person _____________________________________ Contact information ___________________________________________
Name of Person Attending Contact Information Special Accommodations/Dietary Needs Graduate Credit (Y/N)
(Please indicate subject/grade level)
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Please send completed registration form to: LoveLight, Inc. P.O. Box 123 Kent, Ohio 44240 or lkjusti1@kent.edu
Registration for 2 hours graduate workshop credit from Kent State University will be done at the first session on October 17th. Thank you!
PLC academy sponsored by LoveLight, Inc.
in partnership with Solution Tree, Kent State University, and Youngstown State University
