July 26-Southern IL EdCamp Registration
Event Address: 2600 W Main St. Belleville, IL 62226
Contact us at lewisandclark@illinoisreadingcouncil.org with additional questions!
Email address
First Name
Your answer
Last Name
Your answer
Current School District
Your answer
IL EDUCATOR ID NUMBER (IEIN)- for PD hours (3 available) If you do not have IEIN please enter "na"
Your answer
What is your preferred e-mail address? This is how you will apply for your PD hours! (Please make sure this is correct!)
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Are you currently a member of the Lewis and Clark Reading Council?
Are you interested in becoming a member of Lewis and Clark Reading Council?
How did you hear about this event?
What topics would you like to learn more about at EdCamp or future events?
Your answer
Comments and/or questions
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms