Registration

Confirmation

If you register by June 6, you will receive a letter confirming your registration and providing additional institute detail.

Cancellation Policy

If your plans change and you are unable to attend, please call us at 319-273-5141 or e-mail us at conf-events@uni.edu by June 6. Substitutions for your registration are always welcome.

Questions

For more information on institute content, contact the Jacobson Center at 319-273-2053 or jccl@uni.edu.

For questions about registration, contact University Events Coordination at conf-events@uni.edu or 319-273-5141.

Contact Information
Name
First
 MI
 Last
Title/Position
E-mail
Check here if you will be attending as part of a group.
If you check yes to the above box, please list the other members of your group that will be attending. If you are unable to list all of the names, please indicate your district or AEA to help us match you up with the rest of your party.


PLEASE NOTE: Each person must still register individually.
Confirmation Mailing Address:
Street Address
City
State Zip
Day Phone
(including area code)
Fax
(including area code)
School/AEA Contact Information:
School/AEA
Billing Address
City
State Zip
Day Phone
(including area code)
Fax
(including area code)
Check here if you are a UNI alum.
Registration Information
By 6/01/12 After 6/01/12
I have been accepted into the 2013-2014 PCL Coach Candidate Cohort. My registration fees for the Summer Institute have been paid through my Preparation Fees or Financial Assistance Package.

Paid For

Paid For
INDIVIDUALS/GROUPS UNDER 3
Jacobson Center for Comprehensive Literacy
Summer Institute 2013
June 24-27

$350/person

$425/person
GROUPS OF 3+
Jacobson Center for Comprehensive Literacy
Summer Institute 2013
June 24-27

$300/person

$425/person
Graduate credit registration for PCL/CIM coaches accepted into the preparation programs will be arranged through the Jacobson Center.

Graduate workshop credit is available for all other participants.

I am interested in receiving UNI Graduate Workshop Credit
      ($150 for 2 hrs.)

See more information

(Invoice and Enrollment information will be sent to you for credit from UNI Continuing Education.)
Payment Information
Submitting payment: We will send you an invoice with your confirmation letter. VISA, MasterCard, Discover and American Express accepted.
Please bill me direct.
Please bill my company via:
Check or credit card
P.O. or Requisition #
Click here to pay by credit card
Comments and Special Needs
Please provide us with any information that could help make your conference experience a more enjoyable one. You may also use this space to list any special needs, including dietary.
As the conference approaches, will receive a confirmation letter and invoice via e-mail.