LAUSD: Visual Learners in the Digital Age: Digital Storytelling, Infographics, and Other Web 2.0 Tools Please enter a Username to create an account. If you already have an account please login before completing this form. Username * Check Availability Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores. Password Confirm Password Provide a password for the new account in both fields. Your Registration Info Title * Mrs. Ms. Mr. Dr. First Name * Middle Initial Last Name * Home Address * Country - select - Canada United States City * State * Choose country first Zip Code * Cell Phone * Date of Birth * Email Provide your Gmail email address. Only an address ending in @gmail.com will be accepted - NO School G Suite accounts. Gmail Email Address * School Information School or Administrative Unit * Employee Number * Does your school use Google Apps for Education? * - select - Yes No I don't know Subject(s) Taught * Grade(s) Taught * How did you hear about us? * FacebookBrochureTwitterEmailWord of MouthGoogleOther: Check all that apply. First Time Student? * Yes No Referral Name (For first time students) Course Session Our courses are self-paced. Students have TWO full sessions to complete a course, but extensions can be granted. Choose a course session start below: What semester are you starting the course(s)? * Winter Session 2021: January 18- March 25Spring Session 2021: April 13- June 18Summer Session: June 30- August 13 If you have a discount code, enter it here Course Fee(s) * LAUSD 2 Salary Points - $ 119.00 Total Fee(s) Credit Card If you have a PayPal account, you can click the PayPal button to continue. Otherwise, fill in the credit card and billing information on this form and click Continue at the bottom of the page. Pay using PayPal Checkout securely. Pay without sharing your financial information. Card Type - select - Visa MasterCard Amex Discover Card Number * Security Code * Expiration Date * -month- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -year- 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 My billing address is the same as above Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - select - Canada United States State/Province * Choose country first Postal Code *
