CTE 3/S Minl 193: Introduction to Mining Occupations and Operations

If you would like to register for this class:

1) Complete the registration form below

2) Complete the AKLN Enrollment Agreement and email or fax it back to us (kelly@aklearn.net, F: 907 586- 5879)

3) Complete the UAS Dual Enrollment: UAS Registration form Mining and send it to AKLN (326 Fourth St., Suite 404, Juneau AK 99801)

4) Send a check made out to AKLN for $44 with your UAS Registration form.

Information about the Class:

- Tues & Thurs 4:15-6:00pm

- dual credit (high school & University)

- Cost $44 for University credit

- Possible field trip to a mine in your area

- Possible paid internship upon completion for the top 1/3 of the class

- Must have a computer with internet connection to participate – DEADLINE for registration is January 21st, 2013

- The course is also open to recent high school graduates. Students must be under 25, and pay the full UAS tuition (approx $544), and the cost of the mine tour, but will still qualify for the opportunity for an internship upon completion of the course.

Syllabus: Minl 193 syllabus 2013

Dual Enrollment: UAS Registration form Mining

Enrollment Agreement: AKLN Enrollment Agreement

REGISTRATION FORM

School Information

Registration for an AKLN class must be done by an Alaskan public school principal or designee. If you have more than one On Site Supervisor, please complete a separate registration for each OSS and group of students that will be working with him/her.

School District *
School: *

On-Site Supervisor

The on-site supervisor is the person who will be working with the student at his/her home school. It can be a teacher, a para-professional, a principal, or someone else who is able to help the student with anything they may need on site.

Name of On-Site Supervisor *
On-Site Supervisor Email *
On-Site Supervisor Work PhoneEx: 907-586-9702

Student Information

Full Name: *
Alaska Student ID #: *
Don't know the AK student ID? Click the link below: Alaska Student ID
Birthdate *
Student Email (optional):
Is there anyone else you would like to include in communications from the AKLN teacher? Ex: principal, content coach, other teacher, parent/guardian.Name
Email

Additional Student (optional)

Full Name
Alaska Student ID #:
Birthdate
Student Email
Is there anyone else you would like to include in communications from the AKLN teacher?ex: principal, content coach, other teacher, parent/guardian.Name, email address

Additional Student (optional)

Full Name
Alaska Student ID #
Birthdate
Student Email
Is there anyone else you would like to include in communications from the AKLN teacher?ex: principal, content coach, other teacher, parent/guardian.Name, email addresss:

Additional Student (optional)

Full Name
Alaska Student ID #
Birthdate
Student Email
Is there anyone else you would like to include in communications from the AKLN teacher?ex: principal, content coach, other teacher, parent/guardian.Name, email address

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