2024 OpenSciEd Professional Development for Middle School Teachers

Thank you for your interest in Middle School OpenSciEd Professional Learning!
If your District will be paying for your registration, first email amym5@illinois.edu for payment instructions.

Please complete the following registration and payment to confirm your attendance.
Participants are asked to fill out a talent release form. Please bring on the first day.
If you have questions about this registration, please visit our website or contact Amy Morton at amym5@illinois.edu.

Dates: July 15-18th, 2024
Time: 8:30am to 4:30pm.
Location: Sterling Morton West High School
2400 Home Ave, Berwyn, IL 60402
Further instructions will be provided via email nearer to the PL date, so please include best contact email and phone number below.

For ISBE PDHs you will be required to provide your IEIN.

Contact Information

First Name

Last Name

Street Address

Street Address 2

City

State

ZIP

Daytime Phone

Evening Phone

E-mail Address

What is your preferred name? We will use name to create your name badge, so please enter the name you prefer to be called.

Please share your preferred pronouns:

Full name of the school where you teach

School address (including street address, city, state and zip)

School county

Please describe your role at school

Will you be participating with colleagues from your school?

Yes

If you will be participating with colleagues, please list them here

Please rank the OpenSciEd curriculum by your order of preference - first choice, second choice, third choice All participants will be together for "whole group" activities, then participants will split into curriculum groups to focus on either the Biology, Chemistry, or Physics unit. We will consider participants' unit choice, as we try to build similarly sized groups.

Please tell us why you want to participate in this professional learning program.

Do you have any dietary restrictions? We will use this information when ordering breakfast and lunch

Do you have any other needs that we should be aware of?

Have you completed the talent release above? Please print and sign the release and bring it with you to the first day of programming.

Yes

Please select the payment option that best describes where you live or where you teach. If you live in or teach in Cook County, your payment is subsidized by the Cook County Initiative. **If your district is paying please enter the code provided in your email.**

In Cook County ($150.00)

In Illinois ($200.00)

Outside Illinois ($250.00)

Discount code

"I agree to attend all professional development sessions to the best of my ability. If an emergency arises, I will let U of I Extension staff know as soon as I can so that my spot may be used by another educator. I am currently available to attend in-person from 8:30am to 4:30pm on July 15 through July 18, 2024." Please add your name in the box below to confirm this statement.

Civil Rights Compliance - Participant Info

As part of our commitment to providing equal opportunities in our programming, University of Illinois Extension is required to collect and report overall statistics about the race, ethnicity, and gender of program participants. Your responses are voluntary and appreciated.

Gender

Ethnicity

Race

Refund Policy

Full refund available until two weeks prior to the first day of programming. If you are unable to attend, please request a refund by emailing amym5@illinois.edu by July 1st, 2024. If the program is cancelled, fees will be refunded for all participants.

Total Registration Cost