Registration Form

Question Title

* 1. Last Name

Question Title

* 2. First Name

Question Title

* 3. Email Address

Question Title

* 4. School District Name (If Applicable)

Question Title

* 5. School Name (If Applicable)

Question Title

* 6. Grade and/or Subject Area (If Applicable)

Question Title

* 7. I am

You have registered for:
Titile: Holocaust, Genocide, and Human Rights Education Workshop
Date:  June 21, 2019
Time: 8:30 AM- 2:30 PM
Location: Montclair State University, University Hall- Room: TBD
*MSUNER is a registered provider of Professional Development for the state's 100-hour requirement. You must attend a mini course in its entirety to receive recognition of professional development hours toward the state requirement. MSUNER regrets that it cannot grant any professional development hours if you are absent from any portion of the mini-course.
Confirmation of Enrollment: Please provide your school email address to receive a confirmation email 1-2 weeks prior to the start of the course.

Waiting Lists: If a course is full, you will be notified that you have been placed on a waiting list and advised if space becomes available.

Questions? Please email us at the MSUNER office, msuner@mail.montclair.edu, and we will be happy to assist you.
For your records, please print a copy of your registration before you click on the "Submit" button.

T