TRIO HOPE PROGRAM - Registration Form

TRIO HOPE TRAININGS 2009-2010 - PRIORITY 3 REGISTRATION

Priority # 3 – Training on: assessment of student needs; proven retention and graduation strategies; and the use of educational technology in order to design and operate a model TRIO project.

*PLEASE NOTE A SEPARATE FORM MUST BE COMPLETED FOR EACH PERSON.

Persons approved for participation will receive all workshop materials. Some meals will be provided to participants at no charge.

Workshop participants will be responsible for arranging their own travel accommodations. Once registration has been processed by the HOPE program, a confirmation letter will be EMAILED to you. Make sure that the project director signs the approval section of this form.

For arranging hotel reservations, ask for the Group hotel rate.

Any questions, please contact us:

email: olga.berrios@upr.edu

Phone: 1-787-850-9364
1-787-850-0000
ext. 9364/9507

Click here to go back to
TRIO HOPE website

Please fill and submit this form:

Please choose one: Mr Mrs. Ms. Dr. Prof.

FIRST NAME MI

LAST

TRIO PROGRAM TYPE (CIRCLE ONE ONLY)
UB VUB UBMS ETS EOC SSS McNair

Please choose Training:

	October 21-23, 2009 Chicago, IL		November 18-20, 2009 San Francisco, CA
	January 27-29, 2010 San Juan, PR		February 10-12, 2010 New Orleans, LA
	March 17-19, 2010 NYC, NY		Online Trainings

TRIO PROGRAM NAME (TITLE)

INSTITUTION

ADDRESS

CITY STATE

ZIP CODE

PHONE EXT FAX

E-MAIL ADDRESS

Tenure in current TRIO position: Years Months

Program Type: Urban Rural

TRIO HOPE Training Program

Pre-Training Assessment of Needs (PAN)

PRIORITY 3 – Assessment of student needs, proven retention and graduation strategies; and the use of educational technology in order to design and operate a model TRIO project.

Please list below up to five (5) issues or areas of concerns that you would like to have addressed by the Consultants who will deliver the trainings. Be as specific as possible, regarding your issues, according to the priority 3. However, description of your issue must be concise enough to fit in the space provided.

I would like for the consultants to address the following issue(s) / concern(s):

1)

Approved by:

Name of Project Director (PD)

Date

Any additional comments? Please let us know.

If you need further assistance please contact
Prof. Olga Berrios - olga.berrios@upr.edu