Industry Immersion Summer Boot Camp 2023 Question Title * 1. SCHOOL Auburn Belvidere Belvidere North Byron East Guilford Harlem Hononegah Jefferson North Boone Roosevelt South Beloit Stillman Valley Winnebago Rock Valley College Other (please specify) Question Title * 2. POSITION High School CTE Teacher High School Counselor High School Administration High School Special Education Instructor Post-Secondary CTE Instructor Other (please specify) Question Title * 3. Please share your contact information (participants eligible for daily stipend, payment will be mailed directly to home address). Name Address City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 4. INDUSTRY Health Science (Including Criminal Justice) - June 20-22 Manufacturing, Transportation, Distribution, & Logistics - June 27 - 29 Question Title * 5. REGISTRATION (choose all that apply) Registration Fee of $125 will be allocated from FY23 high school grant. CTE Director must approve this expenditure. Daily Stipend of $100/day will be allocated from FY23 high school grant. CTE Director must approve this expenditure. Registration Fee of $125 will be paid by participant. CEANCI will invoice partcipant. Registration Fee of $125 will be paid by district. CEANCI will invoice district. Done