Project

Free Summer Teacher Workshops Registration Form


Before you begin:

  1. Double check your email address, all communications in regards to the workshop will be by email. Please add the domain "@illinoisstate.edu" and "@ilstu.edu" to your email safe sender list so that you receive all updates regarding the workshop.

  2. If you are registering multiple people, each registration must contain a unique/valid email address. i.e. do not reuse your own email address for all.

  3. * Indicates required information. Please use the tab key to move between fields, the enter key will submit the form.

Registration


Please select the workshop you would like to attend:
July 31, 2017 - Stoney Creek Hotel & Conference Center, Moline, Illinois

 
Full At this Time - August 2, 2017 - Crowne Plaza Hotel, Springfield, Illinois

Apply for the stipend here
Check this box if you are interested in applying for the $150 stipend available for the workshops. Please be sure to complete the survey questions at the bottom to qualify.

First Name:*

  
Last Name:*   
Title:*   
School/Organization*   
Address Line 1*   
Address Line 2   
City:*   
State:*   
Zip Code:*   
Phone:*   
Fax:*   
Email Address:*   

Please complete the following demographics:
What position describes your role:
Administrator
Counselor
Teacher

What level(s) apply to your responsibility:
Elementary
Middle
Secondary
Post-secondary

What CTE subject(s) represents your responsibility (check all that apply):
Agriculture
Business
English
FACS
Health Sciences
Math
Science
Special Education
CTE
Technology Education
Administration
 Other Non-CTE Subjects:  

How would you categorize your school community?
Rural
Suburban
Urban


Dietary Restrictions: