Principals' Executive Program

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Principals As Technology Leaders

Participant Approval Form


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Instructions:

Please complete the form below and return it, and your non-refundable $250 registration fee, to:

Principals' Executive Program
Center for School Leadership Development
The University of North Carolina
CB# 3335
Chapel Hill, NC 27599-3335
Attn: Beth Dray

Participants are responsible for the cost of lodging and transportation to and from the program site(s).

I approve participation in the PATL program indicated below for
Name (Please type or print)

Participant's School                                   Participant's LEA
      

Please check the selection box for the program you are attending.
Selection Program Session 1 Session 2 Location
  PATL 25/ FULL 10/14-15/2003 1/13-14/2004 Center for School Leadership Development
  PATL 26 10/16-17/2003 1/15-16/2004 Center for School Leadership Development
  PATL 27 11/11-12/2003 2/10-11/2004 Center for School Leadership Development
  PATL 28 11/13-14/2003 2/12-13/2004 Center for School Leadership Development
  PATL 29 3/16-17/2004 4/20-21/2004 Center for School Leadership Development
  PATL 30 3/18-19/2004 4/22-23/2004 Center for School Leadership Development
  PATL NE 10/21-22/2003 12/9-10/2003 NC TeleCenter - Williamston
  PATL SW 3/2-3/2004 5/4-5/2004 AB Tech - Enka

Superintendent (or designee)
Name (Please type or print) ____________________________
Superintendent's signature