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Questions marked with an asterisk (*) are mandatory.
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* Which day (s) of the conference will the participant be attending?
| October 27, 2011 |
| October 28, 2011 |
| Both days |
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Person to contact, if other than attendee, and phone number to be reached during business hours? If you are registering multiple attendees, please email the list to amills@roe25.net or jloucks@roe25.net
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Who is the Regional Superintendent of Schools (if applicable)?
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Please indicate if an interpreter or any special assistance is needed.
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* Fees for the general conference, please mark which one is applicable
| If the entire organization is attending- 1 day, $20.00 per attendee |
| If the entire organization is attending- 2 days, $30.00 per attendee |
| If an individual (s), less than entire staff attend, 1 or 2 days, $40.00 per attendee |
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- Thursday, October 27, 2011 Administrator Academy
- Friday, October 28, 2011 Administrator Academy
| Fee includes conference registration - 1 day $100.00 |
| Fee if conference registration is paid seperately - 1 day $ 60.00 |
| Fee attending both Academies, includes registration $160.00 |
| Fee attending both Academies, if registration paid seperately $120.00 |
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The deadline for registrations to the academies is Friday, October 21, 2011
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Make checks payable to:
Ron Daniels, Regional Supt. of Schools
Send checks to:
The Office of Ron Daniels, Reg. Supt. of Schools
1714 Broadway
Mt. Vernon, IL 62864
Attn: MVC11
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All registrants will receive a conference name badge that is required to be worn while attending the conference. Deadline for those to be mailed is Friday, October 21, 2011. Registrants taken after this date, may pick up their name badges at the conference registration table in the lobby of Building H.
A Continuing Professional Development Units (CPDU) label of completion will be provided at the end of sessions to each person in attendance. Labels are to be places on the CPDU Evidence of Completion form included in the conference program. For CEU credit, attendees must bring form from your own facility.
NO REFUNDS WILL BE ISSUED AFTER MONDAY, OCTOBER 3, 2011!
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