REGISTRATION FORM - to be completed by principals on behalf of their participating team

Please email ashley.mullet@uc.edu with questions.

Please complete and submit this brief form to help us plan for the participation of you and your colleagues in a 2018 BLT training. Only one registration form per team is to be completed, and principals should not list themselves as a team member in Items 8-11 below. It is critical that we receive accurate email addresses for each team member you are including in your registration.
We appreciate your commitment to developing the instructional leadership capacity of your district and its schools!

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* 1. Principal Information

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* 2. District's Treasurer Information

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* 3. Did you receive a 1003 School Improvement Grant?

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* 4. If applicable, what kind of improvement grant did you receive?

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* 5. Please provide the name of your district.

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* 6. Please provide the SST Region of your district.

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* 7. Please provide the name of your school.

Please complete the fields below with your team's information. Please be sure of email accuracy.

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* 8. Central Office Team Member:
If you do not have a central office team member, you may put a different member's name here.

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* 9. BLT Member #1

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* 10. BLT Member #2

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* 11. BLT Member #3

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* 12. Note that these trainings are being regionalized so as to minimize participant travel time, and as such, we anticipate that you and your team will attend the session nearest your district. However, teams that are unable to participate in the session situated within their respective region may attend another session.

Please indicate the day-long training that your team is committed to attending. Select only one. Note that all sessions will begin with registration at 8:30 AM, with training kicking off by 9:00 AM and concluding by 3:30 PM. Lunch will be provided.

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