IWP Summer 2017 Registration Form
Please indicate which program you wish to attend:
__ Summer Leadership Institute: Mondays through Fridays July 10-25, plus pre-institute meeting in May & followup session in Sept.
__Summer One-week Workshop on Teaching Writing, Mon. – Fri., July 10-14
__15-hour workshop on Writing and Social Emotional Learning, Mon. – Wed., July 17-19
Please print and complete this form and mail to Dr. Steve Zemelman, Illinois Writing Project, 9423 Lincolnwood Dr., Evanston, IL 60203.
OR submit through Google Registration form.
PAYMENT: Please mail the $50 registration fee to Dr. Zemelman at the above address. OR choose your preferred option and use your credit card through the link below:
Name _____________________________________________________________
Address ___________________________________________________________
City _______________________________ State ____________ Zip ___________
School __________________________ School’s town ______________________
Grade or position _________________________
Email _______________________________ Phone _______________________
If you wish to attend the Summer Leadership Institute, please respond to the following:
1. Please give a brief history of your teaching experience.
2. Why are you interesting in joining the IWP Summer Institute?
3. In What leadership roles have you been engaged (educational or otherwise)?
4. What leadership roles do you hope to develop in the future?