2025 Roads, Rivers, & Rails Summer Agricultural Institute Registration

Roads, Rivers, & Rails Summer Agricultural Institute Registration

June 17-18, 2025 from 8 a.m. - 5 p.m. in Carlinville & traveling tour sites
Name*

First NameLast Name
School*
Grade/subjects taught*
School Email*
example@example.com
School Phone Number*
Please enter a valid phone number.
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Since this institute takes place during the summer, please share the following home information which will not be shared with anyone else.
Home Email*
example@example.com
Cell/Home Phone Number*
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please select one option*

June 17-18 (earn 15 professional development hours) @ $40 (institute fee includes meals, hands-on activity supplies, & classroom resources)June 17-18 (earn 1 graduate credit hour from University of St. Francis) @ $40 (institute fee includes meals, hands-on activity supplies, & classroom resources). If this option is chosen, the participant will pay an additional $100 directly to USF upon enrollment.
After submitting this form, please send your check for the $40 institute fee (includes 2 meals, hands-on activity supplies, & classroom resources) to the Macoupin County Agricultural Education Foundation, P.O. Box 77; 220 N. Broad Street, Carlinville, IL 62626
Please describe what you hope to gain by attending the Summer Agricultural Institute.*
Lunch will be provided each day. If you have any food allergies we need to plan for, please list below.
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