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(address associated with your credit card)
1st Time Participant for this state conference
If you do not have a sponsor, we will work to secure a sponsorship for you.
Continuing Education Information
25-30 Act 48 hours
1, 2 or 3 Graduate Credits
25-30 Act 48 hours for attending all workshops during the program week. An additional 5 Act 48 Hours can be earned by attending all workshops and submission of two lesson plans to Educator's Ag Institute Director.
PPID Number: Your Professional Personnel ID can be found here
I will commute.
I require my own room.
Assign a roommate to me.
I have a roommate.
Participation Agreement and Fee Information
$100 registration fee is required to complete registration
at the end of this form.
All registration forms and payments must be received before June 8, 2018
(This is the responsibility of the participant and is nonrefundable after June 8, 2018.)
SPACE IS LIMITED
Registration fee must be paid prior to receiving sponsorship assistance.
$750 workshop fee - If you are committed to attend,
we will work to find a sponsor to cover your $750 workshop fee.
Sponsorships are awarded in accordance with the sponsoring organization’s instructions and on a first-come-first-serve basis.
After registering, you will receive notice via email when our website
is ready for you to select your classroom sessions & tours.
Selections will be on a first-come-first-serve basis.
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