SCCTA Summer Application

SCCTA Application - 2010 Residential Summer Seminar - June 20-25, 2010

Name:

Home Address:

City: Zip:

Home Phone: Work Phone:

Home Email:

Work Email:

School Name: District Name:

School Address:

City: Zip:

School Telephone: School Fax: School Principal:

Years of Teaching Experience: Grades Taught: Subjects Taught:

I am interested in receiving graduate credit.

I have previously earned graduate credits from Furman University.

Please mail following items to the address below:

Completed Application
Letter of recommendation from your principal, assistant principal or department chair
Reservation deposit check for $100.00 made to Furman University. Deposit will be fully refunded upon participation in the seminar or in the event applicant is not accepted into the program.

Becky Duckett, Department of Asian Studies, Furman University
3300 Poinsett Highway, Greenville, SC 29613
864.294.2545

**Applicants who wish to be considered in the initial selection process must submit a complete application packet by April 6, 2010. In the event spaces remain in the program after the initial selection, qualified applicants will be accepted on a first-come, first-served basis.**