Mathematics/Science Partnerships Workshop

How Students Learn

March 7-9, 2004

The National Academies

2100 C St. NW, Lecture Room

Washington, DC 20418

REGISTRATION FORM

Name______________________________Title_________________________

Place of Employment_________________________________________________

NSF Award # or Partnership Name_________________________________

Address_____________________________________________________

City_________________________________State______Zip______________

Phone_______________________________Fax_____________________

Email________________________________________________________

Your primary area of interest: Your MSP project role:

Mathematics	PI or co-PI
Science	Project Director
Both	Teacher
Other (Please specify)	University Faculty
	Elem./Sec. Administrator
	Other (Please specify)

Please return to Terry Holmer by February 6, 2004.

Dietary restrictions:________________________________

FAX: 202-334-1453

E-mail: tholmer@nas.edu