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Registration Form

Instructions

  • Submission of the online registration form sends an email request to The Boggs Center and is not a confirmation of registration. Boggs Center staff will register you for the course requested, based on space availability and completion of pre-requisites (if applicable).
  • You will receive a confirmation when your registration request has been reviewed and approved. If you do not receive a confirmation, please contact us to verify registration and to receive directions and materials.
  • If the training is full, you will be notified.
  • If you experience a problem with registration, please make sure that all required fields are completed, allow some time, or try using a different internet browser.
  • If you experience a problem with registration, please make sure that all required fields are completed, allow some time, or try using a different internet browser.
  • If you have any questions, please contact:

    Kellyann Giudice
    The Boggs Center
    Phone: 732-235-9307
    Fax: 732-235-9330
    Email: kellyann.giudice@rutgers.edu

All fields followed by an asterisk(*) must be filled in.

Training Participant Name and Contact Information

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Grade level of students served *
 

Role *
 
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Administrator Contact
Registration indicates administrative commitment to the creation or expansion of quality community-based instruction (CBI) practice. In registering staff from this school or district to attend this training series, the designated administrator assures that the school and/or district will provide the necessary administrative supports, including but not limited to staff time and other needed resources, to either establish or expand quality CBI practices for students with disabilities. The designated administrator also assures that attendees will complete and submit all training assignments and progress reports regarding implementation of CBI practices in a timely manner.

 
 
 

Training Course
Please select the title, date, and location of the course you would like to attend:

Course Date:

Course Date:

Course Date:

Course Date:

Course Date:

Course Date:

Course Date:

Course Date:

Accommodations Needed
Please let us know if you have a service animal, are a wheelchair user, or if you need a Sign Language Interpreter, Braille handouts, or other accommodations at least 2 weeks before the training date.

Sends your application by email to The Boggs Center
Accessibility Statement
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