AP Institute 2007 Registration Form

Loyola University Chicago

July 9-13, 2007

Name: _________________________________________________________________________________

Home Address: __________________________________________________________________________

City:_______________________________State: __________________Country: _______________

Zip: _______________________________Phone: ______________________________________

School Name: ____________________________________________________________________________

School Address: __________________________________________________________________________

City:_______________________________State: ______________Zip: ___________

Phone: _______________________________e-mail: _____________________________________________

Have you previously taught AP course?_________ If yes, for how many years?______

Please list topics you would like to see covered during the workshop:

_________________________________________________________________________________________

Are you an English or History teacher? English __________ History __________

Will you want graduate credit (tuition fees apply)? Yes _________ No __________

Lunch preference: vegetarian __________ no preference __________

Before you submit your registration by mail, please be aware that your registration is NOT complete until you submit the $550 ($500 for Chicago Public Schools) check, made payable to Loyola University Chicago. Send payment by June 6, 2007 to:

Lillian Hardison

History Department/AP Summer Institute

Loyola University Chicago

Crown Center 529

6525 N. Sheridan Rd.

Chicago, IL 60626