Instructional Skills Workshop Registration Form (Faculty & Instructors)






To confirm your registration payment must be received in full.

Instructional Skills Workshop Registration Form (Faculty & Instructors)

Please write your name as you would like it shown on the certificate - eg. First Name Middle Initial Last Name

Registration fee is payable by cash, cheque (payable to Brock University), or transfer of funds (payable to CPI Account 118-081-042), TH 253B. **Please note that your registration fee is non-refundable**

Confirmation of your registration in this program will take place once payment is received.

Workshop Dates:

I am currently teaching,

I have been teaching for

Use a Brock University e-mail if possible.

Please indicate which types of teaching methods you currently use. Record the percentage of your use of each teaching method.

%
%
%
%
%
%

Of the six teaching methods listed, please rank in order of preference. (1 - Most preferred 6 - Least preferred)