TABE 101 10.19.09 Port Charlotte

Date: October 19, 2009

Time: 8:30-3:30

Location: Charlotte Adult Learning Center
Port Charlotte Town Center Mall, Suite 365
(Please use the white side door next to the Penney's door for early entry into the mall.)
1441 Tamiami Trail
Port Charlotte, FL 33948
941-255-7555

TABE 101 is for all practitioners who will be administering the TABE test but have been in adult education for less than a year, or have never attended any TABE certification training.

The TABE certification achieved through this training is required for all TABE proctors and will be valid for two years.

Trainer: Sharron Kelsey

1. Attendee Last Name

Attendee Last Name

2. Attendee First Name

Attendee First Name

3. E-mail Address

E-mail Address

4. Title/Position (i.e., GED instructor, Volunteer tutor, etc.)

Title/Position (i.e., GED instructor, Volunteer tutor, etc.)

5. Name of your school/agency/organization

Name of your school/agency/organization

6. County

County

7. Mailing Address (Street)

Mailing Address (Street)

8. City

City

9. State

State

10. Zip

Zip

11. Telephone Number (with area code)

Telephone Number (with area code)

12. I have received authorization from my supervisor to attend this training

I have received authorization from my supervisor to attend this training Yes

13. My supervisor's name is

My supervisor's name is

14. My supervisor's email address is

My supervisor's email address is

15. Questions or comments:

Questions or comments: