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)”.
https://www.isbe.net/Documents/73-58-approved-pd-provider-activity-summary.pdf
Chairperson of Planning Committee (Name)*
 
Date*
     
District Superintendent*
 
Date*
     
Agenda Upload
(2MB Limit for Upload)

Email for Confirmation of Receipt
Enter Email
Confirm Email