www.brandman.edu/exed
Palmdale School District Induction Program
Credits Registration Form
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.
Palmdale SD Completion Docume
ntation
Please send the following documents to Brandman
University:
Participating Teachers: Induction Completion
Certificate
Support Providers: Verification of Completion
Certificate
Address:
City:
State: Zip:
Phone #:
SSN or Brandman ID:
Date of Birth (required):
Email:
School: Induction Coordinator: Mary Rees
Check Appropriate Course Course Number Credits Registration Fee
Participating Teachers Year One EDBU 9108 8 $400
Participating Teachers Year Two EDBU 9109 8 $400
Participating Teachers: Early Completion EDBU 9145 8 $400
Support Providers: Year One EDBU 9106 5 $250
Support Providers: Year Two EDBU 9107 5 $250
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:
E‐mail: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.
