Registration Teachers Workshop

Use this form to register for the 2021 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 $60 and wish to receive Professional Development Hours (or no credit). I am registering ($60) 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 ($60) 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
Pere Marquette State Park Lodge
13653 Lodge Blvd
Grafton, IL 62037

Use this form to register for the 2021 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.