CSCC 2020 Membership and Conference Registration Form

CSCC 2020 Membership and Conference Registration Form

Complete and submit this form to join CSCC and/or register for the CSCC 2020 Conference.

 

 

 

 

 

 

 

answer must be a zipcode like 61864 or 61864-8180

 

answer must be phone number with area code like 217-333-1000

 

answer must be an email address

 

CSCC Annual Membership

CSCC 62nd Annual Conference Registration

April 2-4, 2020

Tempe Mission Palms Hotel

Tempe, AZ

*must also pay  annual membership

Registration includes access to the entire conference, including pre-conference sessions.

Note: The deadline to reserve a hotel room at the block rate (Tempe Mission Palms Hotel) is March 2, 2020.

*Lunch on April 3rd and breakfast on April 4th will be provided as part of the conference registration fee. Dinner each evening is on your own.

required14. Select any dietary needs and/or restrictions (we will do our best to accommodate):

required14. Select any dietary needs and/or restrictions (we will do our best to accommodate):

*Lunch on April 3rd and breakfast on April 4th will be provided as part of the conference registration fee. Dinner each evening is on your own.

15. Go Green! Access the CSCC 2020 conference program online via your smart phone. If you do not care to utilize the online conference program, please indicate your preference for a hard copy of the conference program.

15. Go Green! Access the CSCC 2020 conference program online via your smart phone. If you do not care to utilize the online conference program, please indicate your preference for a hard copy of the conference program.

CSCC Newcomer/Mentor Program

First-time CSCC conference attendees are invited to participate in the newcomer/mentor networking program at no extra cost. You will be matched with an experienced CSCC member mentor who will offer a personal introduction to the conference and CSCC. Mentors and mentees  must be available attend the Opening Reception at 6pm on Thursday, April 2, 2020.  More details will be provided to you by email before the conference.

Interested in being a CSCC mentor or mentee? Complete and submit the online Mentor/Mentee form today.

Payment Information

If the fee does not apply for questions #16, #17 or #18, leave the default "0" value in the box.

answer must be numeric

 

answer must be numeric

 

answer must be numeric

 

Enter the total for questions #16, #17, and #18 in the box below.

answer must be numeric

Enter the total for questions #16, #17, and #18 in the box below.

 

Please review the Frequently Asked Questions before making a payment selection.

Note: An invoice will be sent to the email address provided on this form shortly after submission. Please do not remit payment of CSCC fees until you  have received an invoice. If you do not receive an invoice within 24 hours, please email cscc@education.illinois.edu.

required20. Please select a payment method:

required20. Please select a payment method:

Please review the Frequently Asked Questions before making a payment selection.

Note: An invoice will be sent to the email address provided on this form shortly after submission. Please do not remit payment of CSCC fees until you  have received an invoice. If you do not receive an invoice within 24 hours, please email cscc@education.illinois.edu.

Include your email address in your submission to:

  • Get a copy of your answers