Online Registration Form

Workshop Registration Form

Fields marked (*) are required

  
*First Name:
*Last Name:
*Email Address:
IEIN#:  

If you are an Educator you must have your IEIN# to register. Your registration will not be considered complete without this number. If you need to obtain this number please follow this link -- https://sec1.isbe.net/ecs/ 

Workshop Title:
Workshop ID:
Date(s) of Workshop:

District:     District Number:
Teacher:  Grade Taught:
Administrator:
Counselor:
Other:

School:
School Address:
School City, State, Zip Code:
School Telephone:

Home Address:
Home City, State, Zip Code:
Home Telephone:

Request CPDUs:
Request Administrator Academy Credit (if applicable):
Request College Credit:

CANCELLATIONS / REFUNDS:

If you cannot attend, a cancellation notice should be given to the ROE at least three days before the workshop. Refunds will not be given without a cancellation notice. All workshop monies (if required), including Graduate Credit fees, are due on or before the workshop session. Unless cancellation is received three (3) working days prior to the workshop session, participants are obligated to pay the workshop fee.

Workshops are generally contingent on minimum enrollments. All fees will be refunded if a workshop is cancelled.

Early registration is encouraged! If you have questions, please call 815/652-2054 x239.

 

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