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Motivating Your Resistant and Reluctant Learners 9-24-26
NWSE Professional Development Online Registration
Thank you for your interest in this training! Please complete all of the information on this form in order to complete your registration.
*
1.
Participant Name
(Required.)
*
2.
School District
(Required.)
Dakota
East Dubuque
Galena
Lena-Winslow
Orangeville
Pearl City
River Ridge
Scales Mound
Stockton
Warren
West Carroll
NWSE employee
Other (please specify)
*
3.
Your Position
(Required.)
General Education Teacher
Special Education Teacher
Paraprofessional
Occupational Therapist
Physical Therapist
Psychologist
Speech-Language Pathologist
Counselor
Social Worker
Reading Specialist
Administrator
Other (please specify)
*
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.
(Required.)
*
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.
(Required.)
6.
Please indicate any special needs/accommodations.
7.
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. You will also be required to sign in with this number at the training.
8.
Lunch Choices
Choose One
Sandwich
Garden Salad
Chef Salad
9.
If Salad, choose dressing
Ranch
French
Italian
10.
If sandwich, choose bun type
Kaiser bun, white
Hamburger bun, wheat
Hamburger bun, white
Pretzel hamburger bun
No bun
11.
Sandwich meat, choose up to 3 slices
Turkey
Ham
Chicken
Roast beef
Salami
No meat
12.
Sandwich cheese, choose one
American
Cheddar
Colby Jack
Pepperjack
Muenster
No cheese
13.
Sandwich extras
Tomato
Lettuce
Onion
Mustard packet
Mayo packet
Ketchup packet
14.
Side, choose one
Potato salad
Pasta Salad
Bag of chips
15.
Desert, choose one
Chocolate chip cookies
Fruit Fluff