Orange County Department of Education Induction
Credits Registration Form
Please FAX completed form to:
Or email to:*
Registration Information
These courses award graduate-level professional
development credits. They are not
part of a degree
program. Credit is listed in semester hours. Each credit
represents 15 hours of work.
State: Zip:
Phone #:
SSN or Brandman ID:
Date of Birth (required):
School District:
Check Appropriate Course Course Number Credits Registration Fee
Participating Teachers: Year One EDBU 9068 3 $150
Participating Teachers: Year Two
EDBU 9069 3 $150
Support Providers: Year One
EDBU 9070
Support Providers: Year Two EDBU 9071 3 $150
Education Specialist Induction EDBU 9017 3 $150
Method of Payment
Credit Card : VISA MC Discover AMEX
Check Number: __________ (Attached) Payable toBrandman University”
Card Number: __ __ __ __/__ __ __ __/__ __ __ __/__ __ __ __ Expiration Date: ______/_______
Month Year
Signature: Date:
Contact: Brandman University
Phone: 800.632.0094
Grades & Transcripts
Upon registration, you will receive an email notification that a Brandman University username and password has been
created with instructions on how to activate your Brandman account. Once grades are posted and credits have been
awarded, a final confirmation email will be sent so please read these instructions thoroughly. Please wait until you receive
the final confirmation email before proceeding to view unofficial and order official transcripts.
*We do not recommend sending payment information through email but will accept registrations via email
during school closures as many will not have access to a FAX machine.
Induction Documentation
Fax to Brandman University with this form:
Participating Teachers: Induction Transcript and
Completion Certificate.
Support Providers: Completion Certificate
$ 0.00
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