Registration Form

If you are either a faculty member who has adopted Slavin's Educational Psychology: Theory and Practice, Sixth Edition, or a K-12 teacher who is interested in participating in the program, please fill out the information below, and you will be contacted within two weeks by an Allyn & Bacon representative.

I am a:	Adopter of Slavin's Educational Psychology, 6/e K-12 teacher
Name:
Address 1:
Address 2:
City, State, ZIP:
Office Phone:
Home Phone:
Email address:
K-12 TEACHERS ONLY
Grade and subject that I teach:
Number of years I have been teaching:
I am willing to commit to sending an email to my cooperating course at least once per week.	Yes No
COLLEGE FACULTY ONLY
How many students are in the course you wish to register?
Course and section number: