Registration Teachers Workshop

Use this form to register for the 2022 Illinois Teachers Workshop: Rocks, Minerals & Mining in Today’s Society.

Alternatively, you may register by mail by downloading the paper form here.

* Indicates required field

Choose One *

I am registering at a cost of $100 and wish to receive Professional Development Hours (or no credit). I am registering ($100) and will pay now to receive 2 graduate credit hours for GEO 493.07, “Geology of Illinois: Teaching, Rocks, Minerals & Mining in the Classroom” from Illinois State University at a cost of $250. I am registering ($100) and wish to receive grad credit but I will pay the grad credit course fee when I arrive at the workshop.

Name *

First

Last

Street address *

City *

State *

Zip code *

Your daytime or cellphone number *

Email address you will use during the summer *

Choose One *

You may share my email address with other participants Keep my email address private

T-shirt size *

School *

City or town where school is located *

Grade / Subject *

Your Illinois Educator Information Number (IEIN) *

Name of teacher you would like to share a hotel room with *

Do you live nearby and wish to go home each night? *

Yes

How did you hear about the workshop? *

Choose how you wish to pay for registration *

Credit card Check mailed to IAAP

Submit

You will be asked again to select a form of payment on the next screen.

Workshop will be held at
Holiday Inn & Suites Bolingbrook
205 Remington Blvd.
Bolingbrook, IL 60440

Use this form to register for the 2022 Illinois Teachers Workshop: Rocks, Minerals & Mining in Today’s Society.

Alternatively, you may register by mail by downloading the paper form here.

You will be asked again to select a form of payment on the next screen. ​

You will be asked again to select a form of payment on the next screen.