iEARN Workshop Registration Form for independent teacher applicants

iEARN Workshop Registration Form

Independent teacher applicants

Title of the workshop for which you need to enroll:

_________________________________________________________________

First Name: ________________

Last Name: ________________

Date of Birth: ______________

Gender: __________________

Educational Qualification: _____________________________

Subjects and classes Teaching currently: ________________________________________________________

_______________________________________________________________________________________

Full Name and Address of the Institution Your are Working: : ________________________________________

______________________________________________________________________________________

Work phone/cell number: ____________________________________________________________________

E-mail address: _____________________________________

A brief introduction of yourself:

_________________________________________________________________________________________

What do you hope to achieve from this workshop?

________________________________________________________________________________________

The seats are limited so registrations will be given on first come first serve basis. Schools and educators are advised to register early to secure the seats.
To register send this form filled and signed, attach a bank draft or a crossed check in the name of

“Society for International Education.” Cash payments can be made in person at the iEARN office. The registration fee is non refundable.

All registration information can be obtained from the iEARN office call 4547547 from

10:00am-3:00pm.

Completed registration forms and payments can be mailed or handed in person at the:

iEARN-Centre

22, Ali Bhai Centre,
233-A, Shahra-e-Qaideen,
P.E.C.H.S. Block-2,
Karachi - 75400
Pakistan.

Telephone: 9221-4547547