for
Participation
in Experiences for Future Teachers Using Technology 2002
(A
CREC-ECSU PartnershipProject)

|
Student Name __________________________________________
Grade level: _______________________
School Name__________________________________________
e-mail address: _____________________________
Tel. no. ________________ Mailing address: ___________________________________________________ YES/FEA Club Leader
or Sponsoring Teacher: __________________________ |
_____ attending the Institute for Future Teachers using Technology
(June 23-28, 2002) at Eastern Connecticut State University.