SR-AHEC



STUDY TODAY | COLLEGE TOMORROWSAT/ACT Preparation CourseREGISTRATION$75—Standard$50—Students with free/reduced lunch (MUST provide proof)Early registration is encouraged because the maximum number of students we are allowed to take is 50. Registration fee includes the College Board SAT Preparation Book, morning refreshments and lunch.DATE & TIMESaturdayOctober 26, 20198:30 am Morning refreshments12:00 pm Lunch4:00 pm Parent/Student QuestionsRegistration and payment must be received by October 16, 2019 LOCATIONSouthern Regional Area Health Education Center1601 Owen Drive Fayetteville NC 283043rd Floor Classroom BCONTACT INFORMATONTonya Burney, MS, CDPtonya.burney@sr-(910) 678-7201TARGET AUDIENCEHigh school students, grades 9—12PROGRAM DESCRIPTIONThis 1-Day workshop is designed to teach students how to take the SAT test. Students will identify strategies to be utilized during the test. They will review math, verbal reasoning, essay and reading sections and take a practice test.PLEASE BRING TO CLASSPaperPencilCalculator or TI-83OBJECTIVESProvide a general understanding of the significance of standardized tests.Provide strategies to maximize SAT/ACT math reading scores.Expose students to a simulated exam, giving opportunities to practice learned strategies.Part of the NC AHEC Program.In affiliation with Duke University Medical CenterINCOMPLETE FORMS WILL NOT BE ACCEPTEDPlease PrintTo Register by Mail:Registration Deadline: October 16, 2019Southern Regional AHECAttn: Health Careers1601 Owen DriveFayetteville, NC 28304Check One:? $75.00 Standard Registration Fee ? $50.00 Students with free/reduced lunch (must provide proof)To Register by Fax: If paying with credit card, you may fax your registration to (910) 678-0106Payment Options: ? Check enclosed with registrationPayable to: Southern Regional AHEC? VISA? MASTERCARDCard # __________________________________________Exp. Date: _______________________________________Authorized Signature: _____________________________CONTACT INFORMATONTonya Burney tonya.burney@sr-(910) 678-7201INCOMPLETE FORMS WILL NOT BE ACCEPTEDPlease PrintFirst Name: ______________________________________Last Name: ______________________________________Middle Initial: ______ Nickname: ___________________Last 4 Digits of SSN: _______________________________Birth Date (Month/Day/Year): _______________________Race/Ethnicity:? American Indian/Alaskan? Asian (specify) _________________________________? Black/African American? Hispanic/Latino? Native Hawaiian/Pacific Islander? White/Caucasian? Multiracial (specify) _____________________________Gender: ? Female ? MaleFood Allergies: ___________________________________Name of School: __________________________________Current Grade: _____ Expected Graduation Date: ______What college you plan to attend:________Home Address: ___________________________________City: ___________________________________________State: ________ Zip: ______________________________Home Phone: ____________________________________Students Cell:____________________________________Students Email: _________________________________Parent/Guardian Name: ____________________________Parent/Guardian Work Phone: ______________________Parent/Guardian Cell Phone: ________________________Parent/Guardian Email: ____________________________SAT PREP Registration Form September 6, 2019 ................
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