Registration Form

Check-Off Events	Day/Date	Time	Cost	Training Description: Event descriptions	Location: Driving Directions
	1/6/10	10:00am – 2:30pm	Last day to register is December 21. Bring required materials.	TABE Training	Finger Lakes Community College 3325 Marvin Sands Dr. Canandaigua, NY 14424 Driving Directions
	1/8/2010 changed from 11/20	9:00am– 4:00pm	Registration fee is $15.00.	Teaching Financial Literacy	Cornell Cooperative Extension Highland Room 249 Highland Avenue Rochester, NY 14620 Driving Directions
	1/15/10	9:00am – 12:00pm		The Health Care Access and Navigation Study Circle+	Monroe #1 BOCES Room K15 41 O'Connor Road Fairport, NY 14450 Driving Directions
	1/27/10	9:00am – 1:00pm	Last day to register is January 20. Bring required materials.	TABE Training CLOSED	Rochester City SD OACES Center 30 Hart St. Rochester, NY 14605 Driving Directions
	1/29/10	9:00am – 1:00pm	Last day to register is January 22. Bring required materials.	TABE Training CLOSED	Monroe #1 BOCES Room K15 41 O'Connor Road Fairport, NY 14450 Driving Directions
	2/3/10	10:00am – 3:00pm	Last day to register is January 27. Bring required materials.	TABE Training	Finger Lakes Works/Ontario Co. Workforce Development 3010 County Complex Drive Canandaigua, NY 14424 Driving Directions
	2/9/10	9:30am-2:00pm	Last day to register is February 2.	Program Managers Round Table 2/9/10	Rush-Henrietta School District Vollmer Building 150 Telephone Road West Henrietta, NY14586 Driving Directions
	2/12/10	9:00am – 12:00pm		The Health Care Access and Navigation Study Circle+	Monroe #1 BOCES Room K15 41 O'Connor Road Fairport, NY 14450 Driving Directions
	3/03/10	9:00am – 3:00pm	Last day to register is February 24.	Maximizing Your Brain's Potential	Holiday Inn - Rochester-Marketplace 800 Jefferson Rd. Rochester 14623 Driving Directions
	3/5/10	9:00am – 4:00pm	Last day to register is Friday, February 26. Lunch is on your own.	ALECC Modules 2 & 3 Training	Monroe #1 BOCES Room K15 41 O'Connor Road Fairport, NY 14450 Driving Directions
	3/12/10	9:00am – 12:00pm		The Health Care Access and Navigation Study Circle+	Monroe #1 BOCES Room K15 41 O'Connor Road Fairport, NY 14450 Driving Directions
	3/24/10	9:00am – 4:00pm	Last day to register is Mar. 17. Download Registration Form (pdf 80kb)	GED Examiner Training 3-24-10	WXXI Studio A 280 State Street Rochester 14614 Park in High Falls Garage.
	3/26/10	9:00am – 12:00pm	Last day to register is March 19. Lunch will be provided.	NYS Report Card Training	Brookwood Inn 800 Pittsford-Victor Road Pittsford, NY 14534 Driving Directions
	4/10/10	9:00am – 3:00pm	$10.00 Last day to register is April 3.	Teachers’ Day – ABE/GED	RIT Inn & Conference Center 5257 West Henrietta Road Rochester, NY 14586 Driving Directions
	4/10/10	9:00am – 3:00pm	$10.00 Last day to register is April 3.	Teachers’ Day – ESOL	RIT Inn & Conference Center 5257 West Henrietta Road Rochester, NY 14586 Driving Directions
	4/27/10	9:00am – 12:00pm	Last day to register is Apr. 20.	National Reporting System Advanced Training	Location: TBD
	4/30/10	9:00 am-2:00 pm	Last day to register is 4/23	BEST Plus Scoring Refresher Workshop Posting	Location: TBD
	5/07/10	9:00am – 3:00pm	Last day to register is Apr. 30.	Teaching with Graphic Organizers	Location: TBD

REQUIRED FIELDS ARE IN RED. REQUIRED FIELDS MUST BE FILLED OUT TO SUCCESSFULLY SUBMIT THIS FORM.

Please fill in the following required information:

Name:
Title:
Agency/Organization:
County of Agency/Organization:
Mailing Address:
City, State ZIP:
Daytime Phone # with Area Code:
Evening Phone # with Area Code:
E-Mail:
Special Accommodation Needs for This Training:
Payment Method (If Applicable) Please make checks and purchase orders out to WXXI. Note in the memo or note field: Regional Adult Education Network Mail Payment to: WXXI Regional Adult Education Network Attn: Carol Gaelens PO. Box 30021 Rochester, NY 14603-3021	Check Purchase Order
Comments:

I accept the following RAEN Policies for Event Attendance:

Checkbox above must be checked off to submit this registration.

Participants will arrive promptly.
Participants will attend for the full duration of the event.
Certificate of Completion will be given only to those participants who attend the entire event.
Cancellation Policy: There is a $20.00 fee for failing to cancel 48 hours in advance.
Participants must register no later than 72 hours prior to the scheduled event date.

Did you check off the event(s) you are registering for?