Registration

Generated with MOOJ Proforms
* Required information.
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 click here
Workshop Title *
Date Workshop Begins * Select the the start date of the course
Workshop Provider: * This is the agency or district that is hosting the workshop
Lee/Ogle ROE
Carroll, Jo Daviess, Stephenson ROE
Sterling Public Schools
Whiteside ROE
Home District This is your district that you work in
District #
Check One
Teacher
Administrator
Counselor
Other
School Your school here
Grade Level(s)
School Street Address
School City
School Telephone
Home Street Address *
Home City *
Home Telephone *
Check All that Apply
CPDUs
In-District Credit (SPS)
Graduate Credit
Administrator Academy Credit (if applicable)

Unless otherwise noted, a cancellation notice should be given to the hosting site at least three (3) 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 workshop is cancelled. See below for hosting agents contact information.