AP Summer Institute Registration Form : Advanced Placement Summer Institute , Loyola University Chicago

AP Summer Institute Registration Form

AP Summer Institute 2013
Loyola University Chicago
July 8 - 12, 2013

Title:
Name:
Home Address:
City:	State:	Country:
Zip:
Phone:	E-mail: List an e-mail address where you can be reached during the summer.
School Name:
School Address:
City:	State:	Zip:
Phone:	E-mail:
Have you previously taught an AP course?	If yes, for how many years?
Please list topics you would like to see covered during the workshop:
Please select which AP workshop you would like to attend (AP Chemistry is closed)
Lunch Preference:
Will you require housing for the week? If so, please go to our Housing Informationpage to register online.
Your reservation will be held until June 15, 2013. After that date your registration fee of $575 must be received to continue to secure your place in the Institute. Please mail a $575 check, made payable to Loyola University Chicago, Center for Science and Mathematics Education by June 15, 2013 to: Mr. Elijah Hurnes, AP Summer Institute Center for Science and Math Education Loyola University Chicago 1032 W. Sheridan Road Chicago, IL 60660
Enter this code in the text box to the right >
Please note: If you fail to receive confirmation of this online registration within 48 hours, please contact JoBeth D'Agostino at jdagost@luc.edu. Click here to submit your online registration: