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Name: __________________________________________________________ School ________________________________________________________________ District __________________________________________________________________ e-mail: __________________________________________________________________ phone: (work) __________________________ (home/cell)_________________________ Grade level or school responsibility: ____________________________________________ All participants are required to pay a $90 registration fee. Registration fees include MAM daily entrance fees, coffee, books, materials, breakfast snacks You may enroll in the MWP Summer Institute for 3 graduate credits at price graduate tuition fee (2011-2012 rate was $220/credit ). Your registration fee and this application will hold your seat at the Institute. Registration for Carroll graduate credit will be completed at the first session on June 26. You will receive detailed instructions and confirmation prior to the first session. (please check one) ___I am interested in 3 Carroll Graduate credits at price at the 2012-13 rate/credit ____I am not interested in earning Graduate credit. I will participate in the Summer Institute for no credit Return this application online or mail this form to: Elise Riepenhoff Director, Milwaukee Writing Project Carroll University, ATTN: Elise Riepenhoff 100 N. East Ave. Waukesha, WI 5318