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Registration Form

Registration/interest form for 2008 Summer Institute

Please complete and submit this form if you are interested in attending the Summer Institute 2008.  Although pre-registration is not required, completion of this form will be used for planning purposes as well as allowing us to send you conference updates and reminders.  If you wish your name and/or contact information to be withheld from the "List of Conference Registrants", please check the appropriate box(es). 

If you are not comfortable submitting this form electronically, you can print the downloadable version of the registration form and mail the completed form to the address located in the top right corner of that document. The downloadable form is available at http://louisville.edu/education/ciidl/summer08/Summer-08-Registration.pdf.

This conference is a FREE service provided by the Center for Innovation and Instruction for Diverse Learners at the University of Louisville and the KY Department of Education

(Required)
Enter your name as you would like it to appear on the list of conference registrants and PD certificate
(Required)
Check the box(es) that most accurately describe(s) you
(Required)
School, District, or Organization with which you are associated
(Required)
Enter the e-mail address to which you would like updates and announcements sent
(Required)
Check the appropriate button to indicate which day(s) you intend to participate



Check the appropriate button if you want your name and/or contact information kept confidential



(Once this form is submitted, you'll be taken to a page that will display your entries. This is your confirmation page.)

Thank you for your interest in the Summer Institute 2008! 

Updates, reminders, and other conference-related material will be sent to you using the e-mail address provided.  You may also check the CIIDL website for updated information.

Contact Barbara Kinney at b.kinney@louisville.edu or 502-852-3274 if you have questions about the Summer Institute.

 
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