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

Select Your District:*
Number of Participants:*
Date of Institute:*
To Be Held At:*
Township Institute Day Objectives:

Please list Planning Committee Members:

Teachers - 50%
Administration - 25%
School Service Personnel - 25%
Theme of District Institute:

Approval Recommended:

Chairperson of Planning Committee (Name):*
Your District Superintendent:*
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