The Evaluators' Institute

Registration Form -- Chicago, IL 2006

For mail or fax registration. After you have filled out the form, 
use your browser to print it. The form is for your convenience; 
it is not electronically submitted from this website.

Please register by March 27, 2006, to be assured that texts and other
materials will be available for you on site.

Registrant information:

First Name
Last Name
Title
Organization
 Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Phone

Phone

 Office

Home (optional)
FAX
E-mail to reach YOU
(Very Important)


Course Selection. Check box and enter fee in the blank for the courses for which you want to register.
 Use days of month to verify that the courses you select do not overlap.

Abbreviated Course Name (Days of Month) Fee Fee
Basics of Program Evaluation (24-26) $1075
  Applied Measurement (24-25) $750
  Performance Measurement (24-25) $750
  Sampling: Probability and Nonprobability (26) $395
Mgmt. for Evaluators and those w/ Oversight Resp. (26-27) $750
Optimizing Use of Results for Policy (27) $395
  Outcome and Impact Assessment (27-29) $ 1075
  Working with Evaluation Stakeholders (28-29) $750
  Cost-Benefit/Cost-Effectiveness Analysis (28-29) $750
  Sub-Total
 
Discount (select one):
None claimed
Institutional
Previous participant. Indicate program last attended:
Graduate student
Discount
Grand Total SubTotal minus Discount

Refunds for cancellations in full through March 27, 2006; $200 service fee for cancellations March 28 - April 12, 2006, after which entire fee is nonrefundable. Another person may be substituted without penalty by providing TEI with appropriate information on person to be substituted.

Payment method (select one of three):

Check enclosed.  Make payable to: The Evaluators' Institute
Institutional Purchase Order. Please attach an approved copy.
Credit Card

MC Visa AmEx Not used
Card Number:
Exp. date (mm/yy):
Name as it 
appears  on card:

Signature:

 

  


Certificate Program

Please indicate which TEI certificate(s) you are working toward.
Certificate in Evaluation Practice
Certificate in Advanced Evaluation Practice
Certificate in Quantitative Evaluation Methods 
Master Evaluator Certificate 
None

When you have completed this form, print it and sign for the credit card if you are using one. Then mail or fax to the address or number given below. 
Thank you.

Note: If you do not receive confirmation of receipt of this form within five
business days, please call 302-644-0990.

Mail: The Evaluators' Institute
Federal Building, Rm 236
116 Front Street
Lewes, DE  19958		 Fax: 302 644-0991

Home