KU Pre-registration Form

KU Center for Economic Education
Pre-registration Form
**Please submit the following information to pre-register in a course or workshop offered through the KU Center for Economic Education.**

**The Kansas Council on Economic Education provides a partial scholarship ($175 per credit) to all certified Kansas teachers currently under contract.**
Event Title:

First Name:
Last Name:
Home Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Email:
School Name:
USD:
Grades/Subjects Taught:
Comments:
The following information is needed to complete your official KU registration:
Birthdate:
SSN or KU Student ID:
If your home is in KS, when did your residence begin:
Have you previously attended KU?	yes no If yes, please note semester & year below
Have you been admitted to the KU Graduate School?	yes no If yes, which department?
Are you degree seeking or non-degree seeking?:	Degree Seeking Non-degree Seeking