District Institute\Parental Institute\ Parent-Teacher Conference Application

Please fill out the form below or Download and complete a PDF version and email to institute@s-cook.org or FAX to (708) 754-8687.

Fields marked with an asterisk (*) are required.
Application For*
District Name / Number*
Number of Participants*
Date of Institute*
To Be Held At*

PLANNING COMMITTEE MEMBERS: (50% must be classroom teachers, 25% administrators and 25% school service personnel.)

Teachers - 50%
Administration - 25%
School Service Personnel - 25%
Theme of District Institute*
Institute Date Objectives*

Approval Recommended:

If you are providing professional development (PD) hours for any part of this Teacher Institute, you must also fill out and keep on file a copy of the
“Approved Professional Development Provider Activity Summary (73-58)”.
Chairperson of Planning Committee (Name)*
District Superintendent*
Agenda Upload
(2MB Limit for Upload)

Email for Confirmation of Receipt
Enter Email
Confirm Email