ATLAS Communities - Pathways to Understanding Registrants

PTU Registration

1. Name

Salutation
First Name
Last Name
Title
Grade/s

2. School and Personal Contact Info

School Name
School Type
School District
School Telephone#
Home Address
City
State
Zip Code
Telephone #
Email address

3. Emergency contact. Please provide a contact name and phone number for emergency purposes.

First Name
Last Name
Phone Number

4. Single rooms are available on a first come first serve basis. Once single rooms have been filled Housing will be Double occupancy. If you have a preference, please indicate which individual(s) you would like to be paired with in a room below:

5.Are there considerations should we be aware of
(i.e. dietary restrictions, etc.)?

What to Bring?

Pens, Pencil
Casual Dress
Comfortable Shoes
Toiletries
*Personal check for
SPU graduate credit hours
Hat/Umbrella
Cell phone/Calling Card
Alarm Clock

Items Provided

Institute Materials
Housing -Mon.-Fri.
Sheets
Towels
Breakfast & Lunch
Dinner on Tuesday