Planning for Cultural and Linguistic Variability with Universal Design for Learning

Application Instructions
Thank you for your interest in participating in this CAST online course. Please fill out/answer the following fields/questions. An asterisk (*) denotes a required field or question. The questions on this registration are for information gathering purposes as we desire to learn more about the student audience.

Access to the Course
Within 48 business hours after you register and your payment has been received you will receive an email with a username and password to gain access to the course. You will have unlimited access to this course for four months.

Course Tuition
The course tuition is $1,000 which includes instruction and all course materials. A 10% discount is offered to teams of three or more people from the same institution who register together (each team member must complete a separate registration).

Payment Information
Credit Card - If you wish to pay by credit card, note that at the end of this application you will be redirected to our PayPal Credit Card Payment page where you will be asked to provide your credit card information. If registering as part of a team of 3 or more and choosing the credit card option, your credit card will be refunded the 10% discount once each member of the team has submitted their registration form and payment. If using the same credit card for each registrant, the credit card can be refunded for each payment instance, or a lump sum refund can be applied.

Purchase Order - If you are going to be paying for this registration via purchase order, please note that you will be asked to upload the purchase order with this application.

First Name *This question is required.

Last Name *This question is required.

Home Address *This question is required.

Home City *This question is required.

Home State *This question is required. If you live outside of the United States, please select N/A, which appears as the first option in the drop down menu below.

Home Zip Code *This question is required.

Home Country *This question is required.

Home Province

Institution Name *This question is required.

Institution Street Address *This question is required.

Institution City *This question is required.

Institution State *This question is required. If you work outside of the United States, please select N/A, which appears as the first option in the drop down menu below.

Institution Zip Code *This question is required.

Institution Country *This question is required.

Primary Phone Number (Please include area code.) *This question is required.

Secondary Phone Number (Please include area code)

Email (primary) *This question is required.

Email (secondary)

Planning for Cultural and Linguistic Variability with Universal Design for Learning - A Facilitated Self-paced Course