2021-2022 ISHI Meeting Registration
Complete this form if you plan to attend one or more ISHI Meetings during the 2020-2021 School Year.  ISHI meetings are scheduled for:

   -  November 18, 2021, (format- in person/virtual: to be determined )
   -  March 3, 2022, (format- in person/virtual: to be determined )

Effective 2016-17 school year, ISHI Registration Dues are $100 per year.  Registration dues can be paid by check, made out to ISHI.
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Last Name *
First name *
School/Organization *
Title: *
Phone Number *
Email Address *
RSVP- March 3, 2022 *
Do you need an interpreter for the meeting on March 3rd?
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Are you retiring soon?
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Please list any topics you wish to discuss with the group during our Hot Topics portion of the agenda. *
Do you have any questions or topics that you would like Amy Deegan (ISBE) to address during the meeting? *
Stacy will be presenting on updates in HAT systems and live voicing using the Roger device.  Do you have any additional questions that you would like Stacy Michels (Phonak) to address during the meeting?
Hot Topic follow up for growing your own leader.  In order to be a leader in your cooperative or district,  what type of licensure is required?
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Are you interested in becoming ISHI's next secretary?  (It is really fun and you get to work with a great ISHI board!!)  Or do you have anyone you would like to nominate?
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In person attendees: Please choose a lunch option.    Options come with Chips, Fresh Fruit, a Cookie and a drink.    $15/person, please bring a check or cash on 3/3.    (Please list any allergies in the "other" section)
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Registration Dues - $100 per year
After clicking submit below, you will receive a confirmation that your registration form has been received.  Please print the page and keep it as a record of your registration. You may send payment to:
Jennifer Lindstrom
6020 West 151st Street
Oak Forrest, IL 60452
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