KMIC Individual Registration Form

KMIC Individual Registration

For questions, please contact KMIC Director, Sherry Goodvin at (316) 978-3385 or sharon.goodvin@wichita.edu.

If you see this don't fill out this input box.

Name*

School District USD#*

Building*

Role*

Grade Level/ Content Area*

Phone Number*

Email Address*

Participant Type*

Year 1

Year 2

Which training option are you registering for?*

Online

Hybrid