Receiving Credit for TIE 2011

Directions: Complete the form below to receive credit for attending the 2011 Technology in Education conference.

Two kinds of credit are available:

  • Graduate credits from the University of Colorado Denver (UCD) offered by the master's program in Information and Learning Technologies.
  • Re-certification credits used by the Colorado Department of Education (CDE) for licensure renewal.

Note: You submit the work for the course by completing the form below, but registering for the graduate credits is a separate process. To get registered for the course, see the information at:

You must enter at least the required information (marked with a "*") before you can submit the form.

The information you provide is kept in a secure database. Brent Wilson, the instructor, will submit reports for Colorado Department of Education continuing education credit and grades for University of Colorado Denver graduate credit.

 

Enter Your Personal Information
(* = required) 		* First Name:
* Last Name:

 

Enter Your Contact Information
(* = required) 		Email:
* Home Phone:
Work Phone:

 

Enter Your Job Information
(* = required) 		* Title:
* School:
* District:

 

Enter Your Address Information
(* = required) 		* Address1:
Address2:
* City:
* State:
* Zip:

 

Enter Your Credit Information
(* = required) 		* How many credits do you want:
1    (You must attend the conference for 2 days and submit a 500 word report.)
2    (You must attend the full conference and submit a 1000 word report.)
* What type of credits do you want:
Colorado Department of Education (CDE) Re-certification Credits
University of Colorado Denver (UCD) graduate semester credits

 

Enter Your Report Information
(* = required)

* Enter your reflective essay in the box below. This report may be a conference reflection, a plan for integrating technology, or a professional development narrative detailing your use of technology.

[Make it regular type - not bold.]

 

Enter Your Evaluation Information
(* = required) 		* Please rate this course, compared to all your other university courses:
   A    B    C    D    F
* Please rate this instructor, Brent Wilson, compared to all your other university instructors:
   A    B    C    D    F
The most effective aspects of this conference/course were:
The least effective aspects of this conference/course were:
The best way to improve this conference/course would be to:
Additional comments:

 

Submit Your Information

When you submit your information, you should see a confirmation page with all of your information displayed. You should print the confirmation page and keep a copy for your records.

If you do NOT receive a confirmation, print this form and your report and send it via email attachment or fax them to the course instructor, Brent Wilson (brent.wilson@ucdenver.edu; 303-315- 4944).
When you are ready to send your information to the course instructor: