APSI Online Registration

Please add ap@uark.edu to your e-mail address book to guarantee receipt of communication from the Advanced Placement Summer Institute.
Complete the form below. Mandatory fields marked *.
Registration Deadline is July 15, 2010. The cancellation deadline is July 19, 2010.
By submitting this form, your information will be sent to the Honors College APSI. Terry Garrity will mail confirmation of your registration ror your records. Please do not submit the form twice as the data is being entered into a secure database. Contact Maribeth Lynes (APSI Director) or Terry Garrity at ap@uark.edu or 479-575-7677 if you have questions. We look forward to seeing you on campus.

Your Information *

Title of Address
Social Sec Number
Verify SSN
First Name
Preferred First Name
Middle Initial
Last Name
Suffix
E-mail
Home Mailing Address NOT e-mail
City
State
Zip
Home Phone ( ) ‐ if available
Cell Phone ( ) ‐ if available
Medical/Dietary

Is your school public or private? *

Public
Private

School Information *

School Name
School District
Teaching Position
School Mailing Address
School City
School State
School Zip
Telephone ( ) ‐
Fax ( ) ‐

Contact Information for Billing *

Please include the contact information for the administrative person at your school who will be providing the Purchase Order Number or other payment.

First Name
Last Name
E-mail
Address
City
State
Zip
Telephone ( ) ‐
Fax ( ) ‐

Which course are you choosing? *

Which fee option are you choosing? *

$575, Includes housing, materials, books, institution fees, breakfast, lunch, snacks, and reception
$500, Includes materials, books, institution fees, breakfast, lunch, snacks, and reception

Which parking option are you choosing? *

I need a parking pass (distributed at check-in)
I do NOT need a parking pass

State Funding Information *

Priority for Arkansas state funds is reserved for untrained public Arkansas AP and Pre-AP teachers until March 1. All teachers can register after October 4, but only teachers who have not had previous training (in the course area you selected above) will be assigned state funds until March 1, 2009.

After March 1, any leftover state funds will be assigned to experienced public AP or Pre-AP teachers according to the date of registration. Register early in order to be eligible. Experienced teachers should make sure that their schools know they will be responsible for payment if there are not sufficient state funds to cover their costs for the institute.

I have NEVER attended in this subject area at ANY institute.
I have attended in this subject area before.
It has been years since I have attended an APSI in this subject area

Submission Agreement *

You will receive a letter in a week confirming your registration and explaining your eligibility status for state funding. If you are not eligible, the letter will include payment information. Contact Maribeth Lynes (APSI Director) or Terry Garrity at ap@uark.edu or 479-575-7677 if you have questions.