Step 2
Registration via Purchase Order

A Foundation for Literacy: Reading Aloud, Storytelling,
Standards-Based Planning & Writing
Registration Form Instructions and Information (for payment by purchase order)

PLEASE READ THOROUGHLY BEFORE COMPLETING THE REGISTRATION FORM.

Students wishing to register for A Foundation for Literacy: Reading Aloud, Storytelling & Writing must complete all fields of the registration form as appropriate. The following instructions are provided to clarify parts of the form that might be confusing.

1. For Registration Date, enter the date on which you are completing the form. This will be considered the effective date of your registration.
    
2. For Last Name, First Name and M.I., you must use your legal name. No nicknames are allowed. This is especially important if you choose not to supply your Social Security Number (see next item).
    
3. For Student #, you may supply your Social Security Number (SSN). If you prefer to not use your SSN for this purpose, leave this field blank.
    
4. For Legal Name Verification, you must check the box verifying that you have supplied your legal name.
    
5. For Course Selection, select the course appropriate to the type of credit you are pursuing.
   
   It should be noted that students pursuing 3 Undergraduate College credits are required to complete additional coursework beyond those pursuing 60 Professional Development credits, and students pursuing either 120 Professional Development credits or 3 Graduate College credits plus 67.5 Professional Development credits are required to complete additional coursework beyond those pursuing the Undergraduate credits.
   
   Additionally, please note that if you plan to take the course for 3 Graduate College credits plus 67.5 Professional Development credits, the all-inclusive cost 
is $799.00 (covers Words That Cook Tuition, Materials & Fees and Fitchburg State College Registration & Administration Fees in full).

   If you plan to take the course for 120 Professional Development credits, the all-inclusive cost is $699.00 (covers Words That Cook Tuition, Materials & Fees in full.)
   
   If you plan to take the course for 3 Undergraduate College credits, the all-inclusive cost is $699.00 (covers Words That Cook Tuition, Materials & Fees and Fitchburg State College Registration & Administration Fees in full).
   
   If you plan to take the course for 60 Professional Development credits, the all-inclusive cost is $529.00 (covers Words That Cook Tuition, Materials & Fees in full and Massachusetts Association for the Education of Young Children Certificate fee, where applicable).
    
6. For Course Start Date, enter the first day of the month in which you plan to begin your coursework and the corresponding calendar year (e.g. July 1, 2006).

Once we have verified your registration, course materials will be delivered. Registering by the 20th of any month allows sufficient time for course materials to be delivered for an upcoming course start date.

If you need further assistance with the registration process, simply contact Words That Cook by phone at 774-885-2000
(press 5, or ask for a course administrator) or by E-mail at collegecourse@wordsthatcook.org.
 

WORDS THAT COOK, LLC
Box 411 Natick, MA 01760    774-885-2000    FAX: 774-885-2001
www.wordsthatcook.org          collegecourse@wordsthatcook.org
 

Registration Date (today's date)

A Foundation for Literacy Registration Form - (for payment by purchase order)

Last Name

First Name

M.I.

Student #

Street Address

Street Address 2

City

Daytime Phone # (with area code)

Evening Phone # (with area code)

State

Zip Code

E-mail Address

DOB (mm/dd/yy)

Legal Name Verification Check this box to verify that this is your legal name.     

COURSE SELECTION

Purchase Order Information
Agency/School Name

Contact/Responsible Party Name

Purchase Order #

Agency/School City & State

Contact/Responsible Party Phone # (with area code)

Purchase Order Amount

Course Start Date (indicate first day of any month and year)  

NOTE: Registration after the 20th of the month prior to the desired course start date is considered late registration and is processed at the discretion of Words That Cook, LLC. You need to speak directly with a course administrator to arrange for late registration. If approved, you will incur a non-refundable Late Registration Fee of $25.00.

The following section is optional, but we would appreciate your providing this information to help us get a better sense of our student population.

Gender:

Male
Female

Ethnic Background:

Asian
African American
Hispanic
Native American
Cape verdean
White (Non-Hispanic)
Unknown
Other

Citizenship:

United States
Foreign Born/Permanent Resident
Other

Current Profession/Career Path:

Head Start
Early Childhood Teacher
Elementary School Teacher
Middle School Teacher
Childcare Provider
Librarian
School Administrator

Before submitting, please review this form to verify that all of the information you have entered is correct.

If you need further assistance with the registration process, simply contact Words That Cook by phone at 774-885-2000 (press 5, or ask for a course administrator) or by E-mail at collegecourse@wordsthatcook.org.