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	Please complete this form to register for the Geology Workshop. Click on this link to open an informational flyer about the workshop.
	Geology Workshop " Geology Workshop: Using Local Geologic Resources to Teach the Earth Science Standards", June 16-25, UC Clermont.  More information and registration will be available January 15, 2008. Click on these links for  Course Abstract,  Course Requirements and Schedule. Click on these links for information of each course: SOSI Course 1, SOSI Course 2

Type the name of the workshop, the location of the workshop and the date     of the  workshop in the box below.          Name:      Team Members:    (List teachers and one administrator, optional)    School:     District:     School Address:     Home Address:      Birth Date (mm/dd/yyyy) :      Last Four Digits of your Social Security Number:    Teaching License Number :         If you do not know your Teaching License #, you can obtain it by going to https://webapp2.ode.state.oh.us/stars/site/Checkin.asp    Workshop Grade Level :       Email Address:      Home Phone:   School Phone: We will send you an electronic confirmation within one week. Click the submit button to process your registration!