NJACAC MINI-INSTITUTES 2008

_____I would like to host a Mini-Institute on our campus.

_____I would like to provide a Mini-Institute on another campus.

_____I would like to provide a Mini-Institute but I need to find a site.

School Name:__________________________________________________________

Address:______________________________________________________________

             _______________________________________________________________

Mini-Institute Topic:____________________________________________________

_____________________________________________________________________

Proposed Date:__________________________________________________________

Time:__________________________________________________________________

Brief Description: _______________________________________________________

______________________________________________________________________

______________________________________________________________________

Indicate what will be available:

_____ lunch provided     _____lunch available for purchase    _____tour of campus

Site Coordinator: ________________________________________________________

Telephone:___________________________Fax:_______________________________

Email:_________________________________________________________________

FAX THIS RESPONSE FORM TO:  Nancy Icenhower, Director of Guidance K-12,  at 609-716-5109 by February 11, 2008.