Fine tune your existing program or prepare to teach student media for the first time, guided by a team of Master Journalism Educators.

Refresh and Recharge at this Retreat for Advisers of Student Media where you can breathe the forest air and watch bald eagles glide over beautiful Dumas Bay in Washington State.

Continuing Education OSPI Clock Hours: Up to 10 available at $4 per hour. This will be billed separately. (Attendees from out of state may or may not earn continuing education credits for WJEA's program, depending on individual state requirements.)

Registration

First Name *

Last Name *

Home Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number (voice/text) *

Non-work Email Address *

School or place of employment

Work email

If currently teaching, what media related classes do you teach/advise and how long have you been doing so? If new to teaching/advising student media, what media will you be responsible for?

Check below if you plan to earn up to 10 OSPI continuing education clock hours while at the retreat. A separate form with further information will be sent for clock hour registration, followed by an invoice. The Washington state certification division requires that payment for clock hours be made by the individual, not by their employer.

Yes! I plan to earn up to 10 clock hours at the retreat.

Note: Once your registration is received, you will be asked to provide the following:

• Dietary needs/restrictions

• Contact in case of emergency

• Insurance information

• Permission to seek treatment in case of emergency

What I hope to gain during my time at the retreat. Choose all that apply: *

Time to work on existing plan and get feedback

New curriculum and resources

Improve my technical skills

Clarify my role as adviser

Find new ways to motivate staff

How to (better) juggle multiple student media

Just need a break and some inspiration

Other Other

QUESTIONS about the WJEA RETREAT?

Kathy Schrier, MJE: wjeaexecutivedirector@gmail.com

Anne Haymen, MJE: anne.hayman@asd16.org

Payment

Please indicate your payment method:

Payment by credit card with this form

Payment will be made by personal check: Please send Invoice.

Purchase order (please upload in space below)

Purchase order will be emailed as attachment to: WJEAexecutivedirector@gmail.com

Purchase order will be mailed to: WJEA, P.O. Box 24389, Seattle WA 98124

Other

Please upload a copy of school purchase order here, if you have it. Otherwise, send it by email or postal mail per above instructions.

If school will be sending a purchase order, please provide the contact name and email of the school official who will be responsible for that paperwork. Thank you!

Retreat registration includes nine meals (Mon. - L, D; Tues. - B, L, D; Wed. - B, L) and overnight accommodations on Monday and Tuesday.. Commuters participation for $475 and includes all meals. *

Retreat Registration before June 1 ($650)

Registration after June 1 until July 15 ($675)

Commuter Rate - includes meals ($475)

Commuter Rate - after June 15 (500)