First Name:

Last Name:

Current Position:

Please check the program that applies to your current position:
Early Childhood
Elementary School
Middle/High School

Your school/district/program:

Your mailing address:

City, State, Province, County, Zip:

E-mail address:

Phone:

Birth date:

Previous Training in Developmental Therapy?
Yes
No

Do you want CEU credit from The University of Georgia?
Yes
No

Check below the course module you are selecting (Each module = 2 CEU credits)
Module 1: Developmental Approach to Classroom Teaching
Module 2: Developmental Assessment for Curriculum Planning and Instruction
Module 3: Unseen Needs that Shape Student Learning
Module 4: Designing Developmentally Based Lessons

Fee per module is $150. Make check payable to Developmental Therapy-Teaching Programs, FCS, UGA

Mail payment with this form to: Distance Learning Programs, Developmental Therapy Institute, P.O. Box 5153, Athens, GA 30604

You will be notified by email when your registration is received. An access password will be provided and you can begin!

Questions: Call Dr. Mary Wood, Instructor, 706-542-4938, dttp@uga.edu

For PLU credit a prior approval form must be printed, completed, and submitted to you School System Superintendent or Professional Learning Coordinator prior to beginning the course.