Iowa Public Television Teacher Training Institute Registration

Welcome to the registration for the Iowa Public Television Teacher Training Institute. IPTVTTI is an institute designed for PreK-12 educators to showcase exemplary lessons and educate Iowa educators in how to create their own. The institute will be held at the Johnston Middle School in Johnston, IA on June 13, 2014. Register today as space is limited. Spots will be given priority to current practicing educators. Stay tuned for schedule details.

Registration is $25 and includes the following: Keynote Speaker Kris Kilibarda, sessions that include master lessons which are STEM-based and cross curricular for elementary and secondary levels, an overview of IPTV and PBS free resources, catered lunch, and an IPTVTTI shirt.

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* 1. Please provide the following information:

Name: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number:

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* 2. School/Organization:

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* 3. Position:

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* 4. You will be provided a shirt at the institute. These are standard shirts that are men sizes. Please select a shirt size:

X-Small

Small

Medium

Large

X-Large

XX-Large

XXX-Large

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* 5. Are you a state employee?

Yes

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* 6. If "Yes" to State Employee, please indicate your IET Payment Document number:

Please submit below and then mail in your confirmation along with a check for $25 to Iowa Public Television (memo can say IPTVTTI). Your check should be mailed to: Iowa Public Television, ATTN: Business Office, 6450 Corporate Drive, PO BOX 6450, Johnston, IA 50131. YOU WILL NOT BE REGISTERED UNTIL YOUR PAYMENT AND CONFIRMATION IS RECEIVED!