ROE #8 and NWSE Professional Development Online Registration

Thank you for your interest in Discipline in Schools! Please complete all of the information on this form in order to complete your registration.

Question Title

* 1. Participant Name

Question Title

* 2. School District

Question Title

* 3. Your Position

Question Title

* 4. Email address
Note: This information will be used to confirm your registration, as well as to contact you in the event of a change/cancellation associated with the event. Please use your school email address, if possible.

Question Title

* 5. Phone number (Please use a summer contact number)
Note: This information may be used to contact you in the event of a change/cancellation in the event.

Question Title

* 6. Please indicate any special needs/accommodations.

Question Title

* 7. Registration for this conference can be varying, please indicate your attendance preferences for this professional development.

Question Title

* 8. Please provide your IEIN number, which is now required to any professional development provider through the State of Illinois before receiving your professional development units.

T