REGISTRATION WORKSHEET PLEASE ENSURE YOUR INFORMATION IS CORRECT BY COMPLETING THE FOLLOWING AND RETURNING IT TO THE PERSON FINALIZING YOUR REGISTRATION. First Name: Last Name: Phone #: Summer E-Mail Address Mailing Address: ACTE Member Number: SCHOOL SYSTEM: Preferred Name for Badge: Last 4 Digits of SS#: Summer Phone #: FORMAT FOR CONFERENCE PROGRAM--PLEASE SELECT ONLY ONE: CEU CREDIT TYPE OF PROGRAM SCHOOL: Electronic Resource— Do you want CEU credit for attending the conference? Printed Program If yes, include your CTAERN Profile Password ________________ YES or NO Mobile App or PDF file REGISTRATION CATEGORY—Choose only one: o Agriculture, Food and Natural Resources o Administrative Leadership o Architecture and Construction o Arts, AV/Technology and Communications o Business & Computer Science--Middle Level o Business & Computer Science-Secondary Level o Counseling & Career Development o Education and Training Cluster o Energy o Law, Public Safety, Corrections and Security o Manufacturing o Engineering & Technology--Middle Levelo Marketing o Science, Technology, Engineering, o Family & Consumer Sciences--Middle Level Mathematics o Government and Public Administration/JROTC o Special Populations--CCAE o Health Science o Special Populations--CTI o Hospitality and Tourism--Culinary o Transportation, Distribution and Logistics o Hospitality and Tourism--Marketing o Work-Based Learning/Youth Apprenticeship o Human Services--FACS o Other o Human Services--Personal Care Services FOOD CHOICES Sunday Networking Session: Food Ticket: _____ YES _____ NO Breakfast Ticket: Please check each day you plan to attend the GACTE Buffet Breakfast: _____ Monday _____ Tuesday _____Wednesday Monday Boxed Lunch—PLEASE SELECT ONLY ONE: MARK SELECTION MONDAY LUNCH Chicken Caesar Salad Grilled Turkey Sandwich Roast Beef Sandwich Grilled Vegetable Wrap Awards Banquet—If you plan to attend the Awards Banquet, please make a selection. If you DO NOT plan to attend the Awards Banquet, please do not make a selection. Attendance is not mandatory, but we want to plan adequately for those who will actually attend the Banquet. MARK SELECTION AWARDS BANQUET Chicken Beef Vegetarian Will Not Attend the Awards Banquet Division/Affiliate Luncheon—Choose only one DIVISION LUNCHEON that you plan to attend on Tuesday. DO NOT MAKE A SELECTION IF YOU WILL NOT ATTEND A LUNCHEON. o o o o o Administrative Leadership Agricultural Education ACCT Business & Computer Science Counseling & Career Development o o o o o o Engineering & Technology Family & Consumer Sciences Healthcare Science JROTC Marketing Education Special Populations o o Work-Based Learning/Youth Apprenticeship Will NOT Attend a Luncheon
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