2. Business Education Supervisor: __________________________________
3. Local School System: School: __ ______________
4. Telephone Number: /Cell Number Fax:
5. Home Address: City, State & Zip:
6. Home Telephone Number: E-mail Address:
7. Which version of Microsoft Office will you be using in fall 2012? 2007 2010
8. Select the MS Training and Certification program: MS Word 2007 MS Excel 2007 MS Word 2010 MS Excel 2010
9. Do you have any dietary restrictions (Kosher, allergy)? 1 No 1 Yes If yes, please explain _____________________
Registration Fee:($70) Includes on-site training, delivery of Microsoft Certification exam in either Word and Excel, MSDE Credit, and three meals daily.
Upon confirmation of your registration, please make payment via check to UMES with the reference “MOS/MSDE Training and Account: 3-90138”. Using the contact information below. Payment is due before June 18th, 2011.
*It is the registrant’s responsibility, or their LEA, to pay the workshop fees, any associated stipends, and any transportation costs. The BMF affiliate university, UMES, will provide the training for Microsoft Certification and administer the certification exams. If you require special accommodations, please notify us of your needs at least 14 days prior to the start of the training.
Accommodations can be found at the following hotels (please check rates and availability).
The Richard A. Henson Center Hotel UMES Campus Princess Anne, MD 410-651-8100 Econo Lodge 10936 Market Lane, Princess Anne, MD 410- 651-9400 Hampton Inn & Suites Fruitland-Salisbury South US 13 South Fruitland, MD 410-548-1282 Holiday Inn Downtown Salisbury US 13 South Salisbury, MD 410-546-4400 Alexander House Booklovers B & B 30535 Linden Ave Princess Anne, MD 21853 410-651 5195
PLEASE SEND COMPLETED FORMS TO: MARYLAND BMF PROGRAM AFFILIATE C/O Dr. NICOLE BUZZETTO-MORE & MUNA ELOBAID
UNIVERSITY OF MARYLAND EASTERN SHORE DEPARTMENT OF BUSINESS, MANAGEMENT, AND ACCOUNTING 2101 KIAH HALL PRINCESS ANNE, MD 21853 FAX: 410-651-6032 Please contact either Dr. Nicole Buzzetto-More at email@example.com or Ms. Muna Elobaid firstname.lastname@example.org for further information.
Registration Form Summer 2012 MOS Certification Training.docx