www.brandman.edu/exed
Orange County Department of Education Induction
Credits Registration Form – 2018/19 and later
Please FAX completed form to:
949-754-1337
Or email to:
k12partners@brandman.edu*
Registration Information
Name:
CREDIT 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.
Induction Documentation
Fax to Brandman University with this form:
Participating Teachers: Induction Transcript and
Completion Certificate.
Support Providers: Completion Certificate
Address:
City:
State: Zip:
Phone #:
SSN or Brandman ID:
Date of Birth (required):
Email:
School:
Check Appropriate Course Course Number Credits Registration Fee
Participating Teachers: Year One EDBU 9068 6 $300
Participating Teachers: Year Two EDBU 9069 6 $300
Support Providers: Year One EDBU 9070 6 $300
Support Providers: Year Two EDBU 9071 6 $300
Education Specialist Induction Year One EDBU 9017 6 $300
Education Specialist Induction Year Two EDBU 9030 6 $300
Total:
Method of Payment
Credit Card : _____VISA _____MC _____Discover _____AMEX
Check Number: __________ (Attached) Payable to “Brandman University”
Card Number: __ __ __ __/__ __ __ __/__ __ __ __/__ __ __ __ Expiration Date: ______/_______
Month Year
Signature: Date:
Questions?
ContactBrandmanUniversityat:
Email:k12@brandman.edu
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.
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