ENGAGEMENT creativity

ENGAGEMENT
creativity
IN AND BEYOND THE CLASSROOM
2016 Tulsa Community College Child Development
Early Learning Conference
Saturday, June 18, 2016
Tulsa Community College West Campus
7505 W 41 St. Tulsa, OK 74107
Schedule
7:00-8:00 a.m. Welcome and Breakfast
8:15-10:15 a.m. First Breakout sessions
10:30 a.m.-12:30 p.m. Second Breakout Sessions
12:30- 1:45 p.m. Lunch, Information Tables & Tours
2:00-4:00 p.m. Third Breakout Sessions
Animals
Garden
The Arts
Outdoor/
Nature
Cooking
Dancing/
Movement
Photography
Public Safety
Drama/
Theatre
Sensory
Experiences
For more information, call 918-595-8077 or email debbie.deibert@tulsacc.edu
Registration includes 6 formal training hours, resources, breakfast, and lunch.
“Creativity is inventing, experimenting, growing, taking risks, breaking rules, making mistakes and having fun”
- Mary Lou Cook
Dress Comfortably
Submit by Email
ADULT CAREER DEVELOPMENT ENROLLMENT FORM
Name: _________________________________________
First
Gender:
 Male
________________ __________________________________
MI
Last
 Female
Home Address: _________________________________________________________________________________________
City: __________________________________ State: ______________________________ Zip: _______________________
Home Phone: (______) _______-___________ Bus Phone: (_____) _______-________ Cell Phone: (_____) ______-________
Date of Birth: ________________________ E-Mail: ___________________________________________________________
Mo
Day
Year
RACE:
This information is used for statistical reporting purposes only.
EDUCATIONAL LEVEL:
 (AN) American/Alaska Native
 Less than a High School Diploma
 (AS) Asian
 High School Graduate/GED
MILITARY STATUS:
 (BL) Black or African American
 Some College
None
 (HP) Hawaiian Pacific Islander
 Technical Diploma/Technology Education
 (WH) White
Active
 Associate’s Degree
ETHNIC:
Reserve
 Bachelor’s Degree
 (HIS) Hispanic/Latino
Veteran
 Master’s Degree
 (NHS)Non-Hispanic/Latino
 Doctoral Degree
 Other _________________________
Please Note: This class is not being held on or at any of the Tulsa Tech campuses.
Class will be held at TCC West Campus. Located at 7505 W 41st Street, Tulsa, OK 74107.
Course Title
Term
Course#
4050
Engagement &
Creativity In &
Beyond the Classroom
4050
4050
Sec#
Campus
Date
S160
S161
TCC
S162
Time
Day(s)
Tuition
Fees
7A-4P
$40
$0
7A-4P
$10*
$0
7A-4P
$0*
$0
Select
One
*Must be approved student or committee member to receive this rate.
PAYMENT INFORMATION
 Check (Must Enroll by Mail*)
Discover
 MasterCard
 Visa
Name (Cardholder Name):_________________________________________________________________________________________________________________
Address: ____________________________________________________ City: _______________________________ Zip: __________________________________
Card #: ________________________________________________________________ Expiration Date: _______________________________________
Please select if applicable to you:

Committee Member: ______________

Student #: ______________
*To Enroll By Mail: Tulsa Tech
Attn: CSC/Information & Enrollment Center
PO Box 477200 Tulsa, OK 74147-7200

Vegetarian Lunch