4-Day Sessions: 2016Twentieth Annual Pacific Northwest (Mon 6/27-Thurs 6/30) AP Institute

4-Day Sessions: 2016Twentieth Annual Pacific Northwest
(Mon 6/27-Thurs 6/30) AP© Institute Registration Form
(Check ONE only) Sponsored by the Bellevue School District (BSD)

Art History
Biology (exp) (lab fee)
Biology (new) (lab fee)
Calculus AB (exp)
Calculus AB (new)
Calculus BC
Chemistry (exp) (lab fee)
Chemistry (new) (lab fee)
Computer Science A
Computer Sci Principles
Economics (macro/micro)
English Language (exp)
English Language (new)
English Literature (exp)
English Literature (new)
Environ Science (lab fee)
European History
French Lang & Culture
Government Comparative
Government US
Human Geography (exp)
Human Geography (new)
Japanese Lang & Culture
Music Theory
Physics 1 (lab fee)
Physics 2 (lab fee)
Psychology
Span Lang & Culture (exp)
Span Lang & Culture (new)
Statistics (exp)
Statistics (new)
Studio Art (exp) (lab fee)
Studio Art (new) (lab fee)
US History (exp)
US History (new)
World History(exp)
World History (new)
Pre-AP* Sessions:
Pre-AP*: English
Pre-AP*: Math
Pre-AP*: Science (lab fee) / (please print)
Name
Home Address
CitySt Zip
Hm phCell
Email
School
Sch addr
CitySt Zip
School #Your ext.#
My school is Private Public District
I heard about BSD API via Previous Attendee College Board Other
I have taught this AP subject before Yes No
CONFIRMATIONfor your registration will be sent to the email listed above. If you do not receive a confirmation via email within 7 days, please check your spam box and then contact us to make sure we have received your registration.
No Shows will be charged full price
Cancellation Policy: A full refund of tuition will be made if written cancellation is received by June 3, 2016. After June 3rd, cancellations are subject to a $50 cancellation fee. Sessions with fewer than ten participants may be cancelled and registrants would receive a full refund.
Mail registration and make check payable to: BSD API
(Bellevue School District Advanced Placement Program © Institute)
PO Box 90010 Bellevue, WA 98009-9010 Fax: 425-456-4176
Registration for 4-day session (by April 1st, 2016)…...... $795
Registration for 4-day session (by June 3rd, 2016)…...... $835
Late fee/Change of course fee(if registering/changing courses after June 3)..$50
Lab fee for Sciences (Bio, Envtl Science, Physics, Pre-AP* Science)……………..$25
Lab fee for Science (Chem)……………………………………………..………………$35
Lab fee for Studio Art (new/exp)………………………………………………………..$10
Monday-Bellevue Botanical Gardens Walk (nonrefundable after June 3)…………$10
Tuesday-Snoqualmie Falls Walk (nonrefundable after June 3)……………….…....$10
Wednesday-Downtown Kirkland Waterfront Visit (nonrefundable after June 3)…..$10
SPU collect $225for college credit at the Institute. TOTAL (Must include all fees) $
Method of Payment
PO#(A copy of the PO must be accompany registration)
Credit Card Receipt # Check#
ONLY if Credit Card has outside US Billing Address:
Visa Master Card Discover
Credit Card #
Three digit verification code on back of card Exp. Date
Name on credit card
This credit card is: my own school’s school district’s other
Credit card billing address
CityStateZip
Additional Info at:
Website: Email:
Phone: 425-456-4161 or1-877-456-4399 Fax: 425-456-4176
Events:$10 each
More info at:
Clock Hours:
Before Institute:
Pre-register for clock hours online at