Instructional Skills Workshop Registration Form for Teaching Assistants






To confirm your registration, payment must be received in full.

Instructional Skills Workshop Registration Form for Teaching Assistants

All registrants must agree to attend the full 3 day program.
Certificates will be awarded upon completion.

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). Payment must be delivered to the Centre for Pedagogical Innovation, Brock University, Thistle 253B to confirm registration. **Please note that registration fees are non-refundable to non-participants**

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

Please indicate the workshop dates in order of preference.

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)