85th Annual IACTE Conference and Annual Meeting Registration Form February 12-13, 2015 ● PAR-A-DICE Hotel & Conference Center ● East Peoria, IL Name _____________________________________________________ Name Preferred on Name Badge ________________________________ Title ______________________________________________________ Employer’s Name ___________________________________________ Address ___________________________________________________ City __________________ State _______________ Zip _____________ Phone ____________________________ Fax _____________________ E-Mail ____________________________________________________ Spouse/Guest Name (if applicable) ______________________________ Please check one primary affiliate: ❑IAVAT ❑IBEA ❑ICTA ❑IFACSTA ❑IHOA ❑ILAVESNP ❑INRS ❑TEA of IL Please check one or more (if appropriate): ❑First-Timer ❑Retired ❑Student ❑IACTE Past-President IACTE 2015 Individual Registration Rates Includes Lunch, Networking Payment After Reception & Awards Dinner Due By: Jan. 15 Jan. 15 on 2/12, Breakfast & Lunch on 2/13 and all sessions IACTE Active Member Retired/Student Member Non Member Guest (meals only) $180 $100 $240 $100 Total You must (X) Yes or No for each meal. Meals are included in registration fee. IACTE must pay for the number guaranteed regardless of the number served. Thursday, ❑Yes ❑No ❑Yes ❑No February 12 Opening Networking Reception Lunch $205 $125 $275 $125 ❑Yes ❑No Awards Dinner Friday, ❑Yes ❑No ❑Yes ❑No February 13 Breakfast Closing Lunch IACTE 2015 Student Registration Rates - No Meals Includes all sessions (no meals) IACTE Student Member Student Non Member Due By Jan. 15 $0 $5 After Jan. 15 $0 $5 IACTE 2015 Pre-Session Registration Rates Payment Due By After Jan. 15 Jan. 15 IACTE Member $ 25 $35 Non Member $ 40 $50 Wednesday Pre-Session Tour, 2/11/15 ❑ Caterpillar Industry Tour – 1:00-4:00 p.m. Thursday Pre-Sessions, 2/12/15, 8:00-10:00 a.m. Includes continental breakfast Select ONE of the five sessions below. ❑ Unpacking the CCSS, Implementation, and How to Assess in a CTE Classroom ❑ Data is the New Natural Resource and Coding is the New Literacy ❑ Measuring Student Growth in Illinois, PERA and the Student Learning Objective (SLO) Process ❑ Your Digital Footprint: Who's Following You, When and Why? ❑ CTE Curriculum Resources - Supporting "Mycommunity" IACTE Membership (Attach Form) Requires both IACTE and Affiliate Membership Total Amount Due Total Total List Special Dietary Needs: ___________________________ ___________________________________________________ Method of Payment: ❑Check ❑Purchase OrderEarly Registration payment is due by January 15, 2015. Purchase Order # _________ Invoice to be paid no later than February 12, 2015. A check or P.O. must accompany registration. Please make all checks payable to the Illinois Association for Career and Technical Education. Return this registration form with your check or P.O. number to: Connie Campbell, 9524 Roanoak Drive, Rockford, IL 61107. Forms can be faxed to Connie Campbell at 815-654-4064 or E-mailed to Connie at [email protected]. Refund requests must be in writing and will be honored until January 30, 2015. A $50.00 handling fee will be assessed. Questions, contact Connie Campbell: [email protected], or cell phone 815-978-0839 Conference Hotel Information: PAR-A-DICE Hotel, 7 Blackjack Blvd., East Peoria, IL 61611, 800-547-0711 or 309-699-7711. Ask for the IACTE Conference special rate using the code: 0211EDU. Conference Rate - $99.00 Reservation Deadline – January 11, 2015 Continuing Professional Development Units will be available for all sessions. An opportunity for five CPDU’s will be available for the conference pre-sessions while the conference itself will provide an opportunity for nine additional CPDU’s.
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