NOTE: Please submit your registration online (button on bottom of page) and do NOT fax your registration form. Only fax your PO if required.

Mentoring the Mentors: The “What, When and How” of Mentoring (ISBE #1378)
Program Date:  4/23/2013
Cost: $175

REQUIRED

First Name:
Last Name:
Position:
Day Phone #:
Cell Phone #:
Email:
Retype Email:
School Name:
School Address:
School City, State, Zip:
District #:
District Name:
District Address:
District City, State, Zip:
District Fax #:
Payment Method:	Credit Card            Purchase Order (Fax PO to 847-824-1033) Check - Mailed To:               North Cook ISC               2340 Des Plaines River Road               Suite 414               Des Plaines, IL 60018

Please Note: Refunds issued only to participants who call the NCISC office seven (7) or more days before the starting date of the program, or if the program is cancelled due to insufficient enrollment. Direct Credit Card refunds can only be issued within 60 days from the date of enrollment. If cancellation of program paid by credit card occurs after 60 days from the date of enrollment, a check will be mailed.

No walk-in registrations accepted.