Registration for the IST Summer Colloquium

Registration Please use this form to submit your registration for the 2009 IST Summer Colloquium.
Personal Information

Status *:	Please select all that apply: Conference Attendee School of Education Student (Full/Part-time)
Title:	*
First Name:	*
Last Name:	*
Employer Name:	*
Employer City:	*
Employer State:	*
E-Mail Address:	*
Home Address:	*
Home City:	*
Home State:	*
Home Zip:	*
Home Phone:	*

Conference Options

Parking:	I would like a free "A" pass to park on campus during the conference. I need a handicap parking pass.

Do you have any special needs?

Dining Options:	I will attend the reception on Thursday I will attend the lunch on Friday I will attend the lunch on Saturday I will attend the group dinner on Saturday I prefer a vegetarian meal

	Other Dietary Restrictions:

Registration Options *:	School of Education Distance students (and alumni interested in earning IU credits) can earn .5 credit in R580 IST Colloquium for full participation, and follow up with.5 credit in R580 during the second summer session at a distance for one course credit total. Attending Full Colloquium only, no course credit - $150.00 Attending Full Colloquium and enrolling in R580 for course credit - $75.00 (plus regular tuition/fees at distance rate) Attending Friday, June 10 only. No course credit - $75.00 Attending Saturday, June 11 only. No course credit - $75.00

Payment Options

Click on "Continue" and you will be given an option for credit/debit card payment on a secure server.