REGISTRATION WORKSHEET PLEASE ENSURE YOUR

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