REGISTRATION FORM Send to: NLA, c/o Irene Silentman, PO Box 573, Window Rock, AZ 86515

Name Telephone/Cell #

Address

City State Zip

Email Address

COURSES & CREDITS

Please select your first two choices and second two choices for classes you want to attend this summer.

Teaching Nav. Lg. using Multimedia Language Acquisition

Research Projects Navajo Verb II

Structure of the Navajo Verb Comparative Athabaskan

Would you like to receive credit for the workshop courses? [You pay for credits yourself.] Yes No

YOUR BACKGROUND

What is your present profession?

If you are a teacher, where do you work?

Do you speak Navajo? Yes No

Do you read Navajo? Yes No

Do you write Navajo? Yes No

Have you attended an NLA workshop before? Yes No

If yes, indicate when and where

Have you ever taken any linguistics courses before? Yes No

If yes, list the courses

FINANCIAL ASSISTANCE

Check those that apply:

My school district will cover my $300 tuition expenses.

I enclose the $300 NLA instructional fee.

I cannot afford the whole $300 fee, but I am enclosing $ .

I request a tuition waiver.

HOUSING

I request financial assistance with dormitory housing.

I request these particular roommates.

Please specify names

I request a stipend (to cover meals).

Parking Fee: Don't forget the parking fee of $64.50 that has to be paid the first day of classes (to UNM).

The NLA makes every effort to support those who need it. Please pay fees if you are able to do so, and do not request assistance unless you really need it.  If you are able to pay the fees, it means the NLA will be able to pay a stipend to someone who really needs the assistance..