College of Education

WSU Tri-Cities Education Summit Registration

Are you a current WSU student? If so, do not register with this form; please email Chris Gana at cgana@wsu.edu to register at no cost.

First Name:
Middle Initial:
Last Name:
Email:
Phone:
Address:
Certificate Number (if you will be requesting clock hours)
What school/organization are you affiliated with?
What is your position?
How did you hear about the Education Summit?
If you chose other to either question, please specify:
Payment will be on the next page. Need help? Please call us at 509-372-7366 or email llightner@wsu.edu if you need assistance with registration.