Advanced Certificate in Media Literacy 2016
Advanced Certificate in Media Literacy Course 2016
Registration form: Advanced Certificate in Media Literacy 2016
To register please copy and paste this form into a Word or text document, fill it out and send with your check for $225.00 to:
Pauline Center for Media Studies
Att. Registrar
3908 Sepulveda Blvd
Culver City, CA 90230
(Make check out to DAUGHTERS OF ST PAUL)
Deadline for registration: July 5, 2016
This registration for 6 1/2 day course. For information please contact Sister Nancy at pcms@paulinemedia.com.
Registration Form 2014 – 2015
Name _________________________________________________________________
Address _________________________________________________________________
City _______________________________________ State _____ Zip _________
Current ministry or educational role/interest:
Parish, Diocese, Organization
Best phone _______________________
Cell phone _________________________________
Email Address _________________________________________________________________
___ I enclose my check in the amount of $225.00 for the 2016 Media Literacy Advanced Certificate Course.
___ I understand that I am responsible for all transportation, accommodation, health insurance and meals except for continental breakfasts, morning and afternoon breaks, and one dinner.
Signature _____________________________________________________________
For further information contact:
Sr. Nancy Usslemann, FSP
Director
PCMS@paulinemedia.com