Tazewell-Mason Counties Special Education Association

Inservice Registration Form

Contact Information Your name: Work phone # and extension: Cell phone #: Home phone: Your E-mail address: District/Organization: Position:

Registration Information Select your Inservice: Technology for the SLP - Kim Day - Wednesday, January 11, 2012 (12:30 – 3:00) Building Language and Literacy Through a Core Vocabulary-Based Curriculum - Gail Van Tatenhove - Friday, February 17, 2012 (8:30 – 3:00)

Questions or Comments Please list your questions or comments:

Submit Your Registration Reset the Form

TMCSEA • 300 Cedar Street • Pekin, IL 61554 • 1 (309) 347-5164