Project Construct

MOPD ID #

We will enter training attendance into the DHSS clock hours system if you have the ID#--our training is published in the Missouri Professional Development System. https://earlyconnections.mo.gov/MOPD

Name *

First

Last

Email *

This is required because it is how we notify participants of registration status and training updates.

Position

Teacher
Teaching Assistant
Administrator
Other

Program Name: *

School District/Agency name:

School Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Work Phone Number

Cell/Home Phone Number

Payment Information:

Is this registration for a virtual Module course?

If you are registering for a virtual module course select "yes" and we will ask for an address that is best to send the framework book to. If you are taking an in-person module course you will receive your book at the first training day.

Will you or your district/center be sending payment? *

I will send payment
District/Center will send payment

Will payment be sent via check or Purchase Order?

Check
Purchase Order

Please indicate any other questions, concerns, comments you have about this registration form below:

Project Construct Online Training Registration Form

PLEASE INDICATE WHICH TRAINING(S) YOU PLAN TO ATTEND

Project Construct Pre-K Offerings: Summer 2024

Project Construct Pre-K Offerings: Fall 2024

Agreement:

Payment Information:

Please make check payable to Project Construct/Columbia Public Schools

For immediate questions regarding your registration form please call our phone: (573) 445-7457 or Email: info@projectconstruct.org