09-10 Leadership Academy for Counselors (Cohort 2) Survey

09-10 Leadership Academy for Counselors (Cohort 2)


(NOTE: This is only available for counselors who have participated in LAC 1.) The Leadership Academy for Counselors (LAC) will provide you with the opportunity to become very familiar with all of the aspects of a school campus in order to build a stronger and more informative counseling presence at your school. Please fill out the following form to provide us with your enrollment information:

1.	First Name*

2.	Last Name*

3.	ESC-20 iLearning User Name (if known)

4.	School District*

5.	Campus*

6.	Work Phone Number*

7.	E-Mail Address*

8.	Billing Street Address*

9.	City/State*

10.	Zip Code*

11.	Method of Payment:* (Please select one payment method below)
	Individual Check Individual Credit Card Campus PO District PO
	If paying by PO or check, please provide the Check# or PO#:

Please print a copy of this application and send it to the ESC-20 Business Office along with the LAC 2 fee of $275.00 (payable by check or purchase order):

ESC-20 Business Office
1314 Hines Ave.
San Antonio, TX 78208

If you would like to pay by credit card (Visa and Mastercard are accepted) please contact us at (210) 370-5212.

If you have any questions about this program, please contact Pamela Chambers at: pamela.chambers@esc20.net or by phone: (210) 370-5730.