Exploring East Asian World Views: Registration Form Mr.   Ms Mrs.   Dr. First Name Last Name PreferredAddress:     Home     School Street City, State, Zip Telephone Number:     Home     School Fax Number:     Home     School Personal E-mail Address School Name Grade Level(s) Taught Subject(s) Taught Number of Years Teaching Which Asian countries do you teach about? Do you want to receive Continuing Renewal Units (CRUs) from the Indiana Dept. of Education?     Yes     No     Undecided

Registration Deadline: Friday, October 29 Please make your $15 check payable to: Indiana University Foundation--EASC (Institutional purchase orders also accepted) Please mail registration form and check to: c/o Marian Young East Asian Studies Center Indiana University Memorial Hall West 207 1021 East Third Street Bloomington, IN 47405