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Show, Know, Grow- Motor Skills January 18
NWSE Professional Development Online Registration
Thank you for your interest in Show Know Grow! Please complete all of the information on this form in order to complete your registration.
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1.
Participant Name
(Required.)
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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)
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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)
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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
(Required.)
*
5.
Phone number
Note: This information may be used to contact you in the event of a change/cancellation in the event.
(Required.)
6.
If you are a certified educator, please provide your IEIN number, which is a requirement from the Illinois State Board of Education. Your IEIN number is a typically a six digit number to access the ELIS system.
7.
Please indicate any special needs/accommodations.