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Teacher Recruitment Conference Registration Form

Fields marked with an asterisk (*) are required.
School Information
State/Country, Zip:

Phone Number:
Principal/Director of Personnel:
Email Address:

Display Needs
Electrical outlets and two chairs will be provided. Table covers will not be ordered this year. You must supply your own table covers.

Will you need a table supplied by CCC?
Yes No
Will you need internet access supplied by CCC?
Yes No

Representative(s) Attending
How many representatives will be coming to represent your school?
One Representative - $60
Two Representatives - $75
Three Representatives - $85

Please provide the names and titles of the representatives who will be coming.
  Salutation Name Title
Rep 1:

Please notify the College of any representative changes prior to the conference. We like to have name tags available upon arrival.

How do I submit payment? You can submit payment for your online donation through our electronic payment site. Once you submit this form you will be presented with a link to submit payment online.

Participant Needs
In order to serve our students better during the Teacher Recruitment Conference, you are asked to provide information regarding the faculty and staff needs of your organization/school. Please list positions available, designating them as either full-time (FT) or part-time (PT).

Staff Needs:
Faculty Needs:
Comments or Questions:

NOTE: You may have to press submit more than once.