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2018 COSB Leadership Institute
Dates: October 3, 2018 - October 4, 2018
Early bird registration (ends September 14): $265 or $70 for banquet only
Regular and onsite registration: $275 or $75 for banquet only
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Email
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School or Agency
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Full Name
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If you are registering multiple people, please use one form for each participant.
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Pre-Institute Workshop
Bill Koehler will lead a pre-Institute workshop entitled: Options to fulfill the mandate. During this workshop, Bill will present a teacher training plan to address the critical shortage of TVIs. This workshop will help you take control of your teacher pipeline.
Date: October 2, 2018
Time: 3 pm - 6 pm
Cost: An additional $10
Will you attend the pre-Institute workshop?
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Yes
No
Leadership Institute
The questions below pertain to the full Leadership Institute.
Boxed lunch preference:
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Turkey with Swiss, Lettuce and Tomato on Croissant
Sirloin with Horseradish and Herb Cheese on Country Roll
Garden Wrap with Hummus Spread and Monterey Jack
Attending banquet only
Attending banquet only
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Yes, I'm only attending the banquet.
No, I'll attend the full Institute.
What are your dietary restrictions for the banquet?
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None
Vegetarian
Gluten free
Dairy free
Vegan
Other:
Required
Materials and special requests
Large print
Braille
Regular print
ASL interpreter
Best contact number
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Your answer
Calculate your payment
Full institute (early bird) = $265
Full institute (regular registration) = $270
Pre-Institute workshop = $10
Banquet only (early bird) = $70
Banquet only (regular registration) = $75
Total payment due
*
Your answer
If paying by card:
Go to
www.paypal.com
and send payment to
treasurer@cosbvi.org
.
If paying by check, make payable to COSB.
Mail checks to
Brian Darcy
Administrator
Idaho Educational Services for the Deaf and the Blind
1450 Main Street
Gooding, ID 83330
Membership dues must be current in order to attend the Leadership Institute.
A copy of your responses will be emailed to the address you provided.
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