Please copy and paste this form into a Word or text document, fill it out, and send with your check by June 25, 2010.
Advanced Certificate in Media Literacy
Registration Form
Name:
Address:
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___ I am enclosing my check ($230.00) for the Advanced Certificate in Media Literacy. I understand that I am responsible for my travel, meals (except continental breakfasts, snacks on class days, and one dinner), medical care and that this stipend covers text books (except for the National Directory for Catechesis), materials, etc.
Signature: _____________________________________ Date: _________________
Please make the check out to: Daughters of St. Paul/Media Literacy Course
Please send to:
Registrar
Pauline Center for Media Studies
3908 Sepulveda Blvd
Culver City, CA 90230
For any questions, please email Sr. Hosea at PCMS@paulinemedia.com.
Things you will need for the course:
- laptop computer
- light sweater (room will be air conditioned)
- digital camera or video camera (not required)
- walking shoes (our of Sony lasts two hours)
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