Kentucky Center for Mathematics

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2017 Middle School Summer Institute - Waiting List
If you would like to be placed on the waiting list for the 2017 Middle School Summer Institute taking place in Louisville, please fill out the information below.

First Name:  (Required)
Last Name:  (Required)
Email:  (Required)

FIRST & LAST NAME  (Required)
EMAIL ADDRESS  (Required)
POSITION TITLE  (Required)
DISTRICT NAME
SCHOOL NAME  (Required)
SCHOOL ADDRESS  (Required)
SCHOOL PHONE NUMBER  (Required)
SCHOOL COUNTY  (Required)
Please indicate which PLE dates you are interested in attending at the 2017 Middle School Summer Institute. NOTE: It is possible that space will be available for certain options and not others, depending on cancellations.  (Required)
Choose 1
Please enter the letters you see in the image above