ELI Participant Registration

ELI Participant Registration

If your district or school has enrolled you in this course, please complete this form to register.
Course
Course Date
What's your name? (as you wish it to appear on your certificate)*

First NameLast Name
What's your email address? (please use your school email)*
What is the name of the district where you work?*
What is the name of your school?*
What subject/grade do you teach?*
How would you qualify your understanding of SIOP?*

1

2

3

4

5

1 is Nothing, 5 is A Lot
What is something that you would like to get out of this experience?*
Is there anything that we should be aware of that could help make this a beneficial experience for you?*
The ELI is an interactive, copyrighted training intended solely for the registered participant. Sharing access—through screen-sharing, distributing materials, or allowing unregistered individuals to observe—is strictly prohibited. I understand that any violation may result in immediate removal from the course and loss of all participation privileges. By signing below, I affirm that I alone will attend and participate in this training.*
Signature*
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