Beginning Teacher Conference / Illini EDge / New Form

Welcome! We at the Illinois New Teacher Collaborative are excited for you to join us on July 17 and 18, 2017.

Beginning Teacher Conference / Illini EDge Registration

Complete the information below to register for this event.

Please select one of the following*

I am a teacher finishing my first year in the classroom.

I am a 2017 graduate of a University of Illinois licensure program

Choose your BTC Session

BTC Regular Registration ($75)

BTC Late Registration ($75, no hotel room)

BTC Last Minute Registration ($100, no hotel room)

Choose your EDge Session

EDge Registration ($25)

EDge Late Registration ($25, no hotel room)

EDge Last Minute Registration ($40, no hotel room)

First Name:*

Last Name:*

School Name:*

School City:*

School Zip Code:*

Phone Number (best number to contact):*

Email Address (best email to reach you):*

Confirm Email*

From which licensure program did you receive your teacher preparation? (ex. Secondary Math Minor, Music Education Major)

From which institution did you receive your teacher preparation? (Northwestern, Eastern Illinois University, etc.)

This coming year, what grade(s) will you teach? (Check all that apply)*

Early childhood/Primary

Intermediate

Middle/Jr High

High School

Other

This coming year, what subject(s) will you teach? (Check all that apply)*

Agriculture

All Subjects (elementary, early childhood, etc.)

Business (economics, computer applications, marketing, etc.)

English (composition, language arts, reading, etc)

ESL/Bilingual Education

Family and Consumer Science

Fine Arts (art, drama, music, etc.)

Foreign Language

Health and Physical Education

Industrial Technology

Mathematics (algebra, geometry, etc.)

Science (biology, earth science, etc.)

Social Studies (history, psychology, world geography, etc.)

Special Education

Support Personnel (counselors, social workers, psychologists, speech and occupational therapists, etc)

Other

If your teaching load was different in 2016 - 2017, please describe how

Will you need a hotel room for the night of July 17? INTC will reserve you a room at the I Hotel at no cost to you (offer valid only during regular registration ending July 6, 2017). If you mark "No," a room will not be reserved for you.*

Yes

Yes, rooming with...

Who are you rooming with?

How did you hear about this conference?

Comments, dietary considerations, or accessibility accommodations:

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