Continuing Studies and Special Programs
Summer Teacher Institute Registration
* Required Fields

Only complete applications will be processed, and must include:

  • Registration Form
  • Payment in full is due with Registration

Contact Information

 

Registrant Name

   
*Last  *First  Middle
*Gender:  Male Female

*Email Address:


Please use contact information you monitor into the summer.
*Home / Summer Address: 
Mailing Address (Apt. No.)
  
*City, State, Zip
Country
*Home Phone:  - -
*Cell:  - -

School Information
*School Name:
*School Phone: - -
*School Address:
Mailing Address (Apt. No.)
   
*City, State, Zip
Country
*Grade(s) You Teach (check all that apply):
High School (Grades 9-12)
Middle School/Junior High School (Grades 6-8)
Elementary School (Grades K-5)
*Subject(s) You Teach:

Session / Workshop Registration

 

*
Please register me for Summer Teaching Institute 2014, which will run from check in on Sunday afternoon, July 6, 2014, through check out no later than 10:00 AM on Saturday, July 12, 2014.
* This program is partially funded by Ringling College of Art and Design. I understand my registration cost is $295 that includes a $50 non-refundable reservation fee.
  Financial Assistance: Scholarship support is available for those with demonstrated financial need. Please provide a detailed written statement below, or indicate that you will submit a request separately by mail or via email to cssp@ringling.edu. We also require ONE letter of recommendation from your school district or immediate supervisor. This recommendation may be submitted using our online form or as a letter sent by mail or via email to cssp@ringling.edu.

 

Digital Experience

*Please list your current computer usage:

  • Home: PC   Mac
  • Work:  PC   Mac

*Please rate your comfort level with the following software:

Software Package Never Used Novice Intermediate Advanced
Adobe Photoshop
Adobe Illustrator
Premier Pro
Adobe After Effects
Other drawing/painting
software:
Other 3D imaging
software:

 

Workshop Enrollment:

*Morning Session selection:

ALTERNATIVE workshop selections should the above be full:

*Afternoon Session selection:

ALTERNATIVE workshop selections should the above be full:



Based on the above, I will need to check out the following equipment:

iPad

Your Stay at Ringling College of Art and Design

 

*The College will provide complimentary housing. A complete list of WHAT TO BRING to make your stay more comfortable will be provided with your registration receipt. All beds are twin extra-long. Participants must provide their own bed and bath linens or agree to a linen charge of $25.00.
I will stay in my own home.
I will stay in a local hotel.
I will require on campus housing and will bring my own pillow, bath and bed linens (extra-long twin size). I understand that I will be responsible for any lost keys or damage (above normal wear and tear) to the accommodations and agree to pay should loss or damage occur.
I will require on campus housing and WILL require linens. Please charge the $25 (plus applicable FL tax) linens fee. I understand that I will be responsible for any lost keys or damage (above normal wear and tear) to the accommodations and agree to pay should loss or damage occur.
Roommates are assigned if not specified. Please specify a roommate below:
Roommate:
Campus housing may not have elevators.
Special Needs:
*Emergency Contact Name:
*Emergency Contact Phone: - -

 

Meals:
The College will provide complimentary dinner on Sunday evening. Continental breakfast will be served Monday through Saturday and lunch will be provided Monday through Friday. Weeknight dining is on your own. Please indicate whether you plan to use this College meal plan.

Yes, I will use the meal plan for breakfast and lunch.
No, I will dine on my own, at my own expense.

Indicate any special dietary needs:

 

How did you hear about Ringling's Summer Teacher Institute?
Website, specify
Friend/Relative
Ringling College postcard
Social Network Site, specify

 

Comments/Questions:



Payment Method

PAYMENT OPTIONS
(select one)
Payment by Credit Card (below). We accept VISA, MasterCard, and Discover only.
Payment by Check to follow. Registration will NOT be processed until payment is received.

CREDIT CARD INFORMATION
*Card Number (no spaces):
we accept
Discover, MasterCard or Visa
Expiration Date: *Month *Year
*Name on Card:
Billing Address (if different than mailing address above)
Billing Address:
Billing City:
Billing State:
Billing Zip:
Billing Country:

Refund Policy
The College will issue a full refund, minus the $50 reservation fee, for all WRITTEN cancellations RECEIVED no later than June 1, 2014. Cancellations may be submitted by email to cssp@ringling.edu. After June 1, you may substitute a qualified teacher in your place for a $50 transfer fee. NO REFUNDS after June 1, 2014.
Ringling College will not refund the cost of any unused portion of your tuition/fees.
Ringling College reserves the right to require persons not complying with College policies to leave the program with no refund.

* I have read and agree to the above refund policy.