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Birthday_____________ Highest Degree Earned_________________________________
First time in Lindenwood University Graduate Program Yes__ No__
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If Yes, Where?________________# of Lindenwood Graduate Hrs_______
Position______________________School________________________
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Mark courses you wish to enroll in: (3 graduate credits each course)
EW 56800 Diversity & Multiculturalism In Our Schools______
EWW 80500 Depresion & Suicide In Our Schools and Society______
EW 56600 Strategies To Assist Educators With At-Risk Students_____
EW 56900 Violence In Our Schools & Communities_____
EW 56700 Overcoming Student Baggage_____
ESW 54000 Societal Pressures Affecting Education_____
Independent Study EWS 62700 (1 credit) Troubled Students Teaching Strategies____
Independent Study EWS 91900 (1 credit) Youth Under Siege_____
Independent Study ESW 54800 (1 credit) Motivating and Rejuvenating Educators______
Independent Study ESW 54700 (1 credit) Eight Psychological Needs of Students and Educators______
Independent Study EWW 80300 (1 credit) The Educational Challenge of Youth Suicide______
Independent Study EWS 56200 (1 credit) Stategies To Identify And Address Bullying______
Course Fee: $330 Videos, $125 Independent Study. Transcripts Will Cost $5.00 Each. Request After Receiving Grades. Make Out Checks or Money Orders To: JF Associates
Circle one: MasterCard Visa or Discover Card #_____________________ Exp. Date:_______
Send To: Charles Jackard, 3221 W. 83rd Street, Shawnee Mission, KS 66206
For Course Syllabus Or Additional Enrollment Forms: www.cjackard.com
Tel/Fax (913) 648-7039 E-Mail: cjackard@primary.net