EmailMe Form - MACS Board Training Registration Form-Winter 2015

Name *

First Last

Home Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Primary Phone *

### - ### - ####

Email *

School Name (No abbreviations please) *

Please indicate the full name of the charter school where you are a board member or employed on staff.

Board Position *

Parent

Teacher

Community Member

I am not a board member

Please indicate which phrase best describes your role on the Board.

When seated as board member (Month/Year) *

Please indicate when you were officially seated as a Board Member for your current term (i.e. May 2014). If you are not a Board Member, please write NA for "not applicable".

Term on Board *

1 year

2 years

3 years

More than 3 years

I am not a board member

Please indicate which phrase best describes the number of years you were elected to serve on the board for your current term.

Staff Member Information *

Director/Principal

Business/Operations Manager

Teacher (non-board member)

Other

I am not a staff member

If you are not a board member, please indicate which phrase best describes your role at the school. (If you are a board member, select "other.")

Course Registration Choice *

Online Finance Course 200 from Jan. 14 - Jan. 26 and Governance Course 100 on Jan. 22 are FULL.

Member School List

Basic courses are free to MACS Members. Check this list to determine whether your school is a member of MACS as of December 8th, 2014. Contact Dan DeBruyn, MACS Associate Director, at Dan@mncharterschools.org for information about membership.

Payment Information

Select Voucher ONLY if using a free voucher for course 110

Voucher 001

Voucher 002

Voucher 003

(Talk to your Director about voucher numbers.)