NOYCE Workshop Registration

Registration ICTM mini-conference +STEM Workshop Modeling in Math and Science

Thank you for your interest in our ICTM mini-conference and STEM workshop. We will send a confirmation email prior to the event with additional details. We look forward to seeing you on Saturday May 2, from 8:30 AM to 3:00 PM, at Western Illinois University, Macomb Campus.
Name*

First NameLast Name
Email*
example@example.com
Black Hawk CollegeWestern Illinois UniversityBushnell-West Prairie City CUSD #170Cuba #3 Fulton CountyMoline-Coal Valley School DistrictMacomb School District #185Galesburg CUSD #205Other School
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Pre-Service TeacherIn-Service TeacherNOYCE ScholarLearning Assistant (LA)MAT StudentConference PlannerConference PresenterConference PanelistOther
MathematicsScienceBiology/Life SciencesPhysics/EngineeringChemistryEarth SciencesSpace SciencesTechnology/EngineeringOther
Please list any dietary restrictions:
The Pepe – ham, provolone, lettuce, tomato, & mayoTurkey Tom – turkey, lettuce, tomato, & mayoThe Veggie – provolone, avocado spread, cucumber, lettuce, tomato, & mayoNone
CucumberYellow MustardHellmann's MayonnaiseJimmy PeppersSliced PicklesCrispy JalapeñosCreamy Caesar DressingJalapeno Ranch
YesNo
EmailFlyerColleagueWebsiteMy ProfessorOther
Will you need any type of accommodation? Please explain.
Please provide any additional questions or comments:
Your Cost of Attendance is
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ICTM mini-conference + NOYCE STEM Workshop Registration
The registration cost covers lunch.

$85.00

Total

$0.00
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Registration ICTM mini-conference +STEM Workshop Modeling in Math and Science