You are on page 1of 2

Registration

2013 New Teacher Summer Institute- Eagle Ridge Conference Center Teach Out LOUD July 22-24, 2013
Name ______________________________________________________________ Institute/School District/School ________________________________________ E-mail _______________________________________ (for registration confirmation) Home Mailing Address _________________________________________________ _________________________________________________ Work Phone _____________________ Home/Cell Phone _____________________

Conference Fees (please circle)


Full-time Student Pre-Registration (postmarked & paid or accompanied with purchase order by May 1, 2013) Late Registration (after May 1) On-Site Registration $175 $200 $210 Regular $275 $300 $310

---------------------------------------------------------------Total Amount $_______________ Check # _____________ or Purchase Order # _____________ (attach a copy) Conference includes food, conference materials, and 2013 TNTP Program. Receipts will be provided at the conference registration desk. CEU credits will be available. CEU credits must be purchased by the attendee. For more conference information, contact us at thenewteacherpeople@gmail.com or visit our website www.thenewteacherinstitute.com. For questions about job placement, contact Candace at cmcclendon@thenewteacherinstitute.com. Please send this form with check, money order, or purchase order made payable to New Teacher Institute to: New Teacher Institute P.O. Box 565 Ridgeland, MS 39158

NOTE: Full-time students must include an unofficial transcript with payment. Transcripts are only to verify enrollment into an accredited institution, and will be returned at the request of the student. Regular applies to all individuals who are associated with a school district and/or eligible for hire. If you are not associated with a school district currently, but have graduated from a higher institution, please submit registration under the regular category.

You might also like