11th Annual
Summer Institute for On-line Education
May 19 – 23, 2008, Monday - Thursday 8:30 a.m. – 4:30 p.m., Friday 8:30 a.m.- 12:15 p.m.
Location: Education II building, 8th floor computer labs, 105 A and B

· A week of hands-on computer (Web CT) learning

· Faculty experienced in online education

· Afternoon work sessions each day

· Bring materials to develop class and leave with a finished on-line course

· Register Early – Enrollment is limited to 12

· For additional information contact Paul Francis, UAMS College of Nursing
francispaulm@uams.edu or (501)526-6497

REGISTRATION FORM (DUE NO LATER THAN MAY 1, 2008):

Today’s Date:__________ Employer: ________________________________________________

Name:_____________________________________________________________________

Address: __________________________________________________________________

City: __________________ State: _________ Zip: ________________________________

Home Phone: ________________ Work Phone: ________________

E-mail Address: ____________________________________________________________

Tuition: $500.00 (Applies to Non-College of Nursing Faculty. Select a payment option below.)

q CHECK: Make check made payable to: UAMS College of Nursing. Check enclosed for: $______

q CREDIT CARD: q Visa q MasterCard q Discover

Account #: ________________________________ Expires: __________________

Authorized Signature: ________________________________________________________

Please print registration form and fax or mail along with payment (if applicable) to:

Kimberly Morton, Director of Academic Administration & Informatics
UAMS College of Nursing, 4301 W. Markham, #529, Little Rock, AR 72205
or fax registration form to: (501) 686-8350

* The College of Nursing reserves the right to cancel this program due to lack of participation or unforeseen circumstances. In this event a full refund will be available to paid participants.

The University of Arkansas for Medical Sciences College of Nursing is an approved provider of continuing nursing education by the Arkansas Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.