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PACE 2010 KoreaSummerInstituteRegForm by QoA2W6h7


									   Program to Advance Cultural Education
                          Korea Summer Institute
                               July 20, 21, 22, 2010
                                  12 noon-5 p.m.
                                Legacy Creekside
                                311 West Yale Loop
                                 Irvine, CA 92604

Educator Name: ____________________________________________________

Street Address:_____________________________________________________

City, State, Zip Code: ________________________________________________

Home Phone:______________________________________________________

Cell Phone:________________________________________________________

Home email: ______________________________________________________

School and/or IUSD Position: _________________________________________

School Phone: _____________________________________________________

School email: ______________________________________________________

Grade(s) currently teaching: __________________________________________

Subject(s) currently teaching: _________________________________________
    Stipend for this seminar is $100 per day
    Space is very limited; seminar to be filled on first
     come, first served basis
    Registration deadline: 6/4/10
For more information, go to:
or call Meryl Segal at 949.265.6412
To register, please complete this form and email to Meryl Segal at or fax to: 949.263.8343
             Irvine Public Schools Foundation, 18552 MacArthur Blvd., Ste 200
                       Irvine, CA 92612, 949.263.8340,

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