Teaching for Racial Justice Course Registration Form

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Teaching for Racial Justice Course Registration Form - Fall 2022

Please supply the following contact information:

Last Name: *

First Name: *

Home Address: *

City, State, Zip: *

School and District: *

If you are not currently working for a school or district, please indicate your current status.

Grade(s) and Subject(s): *

If you are not currently working for a school or district, please indicate your current status.

Cell Phone Number: *

E-mail Address: *

Please register me for Teaching for Racial Justice: Identity, Culture, and Pedagogy. I will pay the $400 WMWP registration fee as follows. *

You must pay the WMWP fee before registering for UMass graduate credit, which costs an additional $347. Your confirmation message will include instructions for how to submit your payment.

Credit card

School purchase order

Other:

Comments or Questions:

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