Online Registration

Personal Info

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Full Name (required):

Gender:

Gender (Other):

Race:

Agency/School:

Agency/School County:

District Name & Number:

Location/Address & Professional Info

Are you providing a home address or work address?

Home AddressWork Address

Mailing Address:

City:

State:

Zip:
County:
Cell Phone:
Home Phone:
Work Phone:
Fax:
Email:

Program Affiliation:

If program affiliation is "other," please explain:

Position:

If position is "other," please explain:

Ages of children with whom you work: 0-23, 4, 5Other

If other, please explain:

Attendance Agreement

NOTICE:
By initialing the below box I understand that I must be on time to the workshop and be present throughout the entire workshop to receive my Professional Development Clock Hours or Certificate of Attendance.

Initial here (required):

IEIN—Illinois Educator Identification Number

IEIN (Required for ISBE Licensed Teachers):

Gateways to Opportunity-Illinois Professional Development System

If you are a Gateways Registry Member, and provide us with your Member ID number, you will be included in the attendance list that we send to Gateways to Opportunity after the training. Otherwise, you will need to self-report the training to Gateways by submitting your training certificate to them. If you are not a member, but would like to know more go to registry.ilgateways.com (opens in new window)

Gateways Number:

Required Attendance Information for Parent Evening Registration

Child's Date of Birth:

Child's Disability (Ctrl/Command + click to select multiple):

To Register, select workshop(s) below by date and title

To register for multiple events or multi-day events, use the fields below to select up to four events per submission. If you need or would like to register for more than four events, you will need to fill out and submit the form again! If registering for a multi-day event, be sure to select each day of the event!

If you received an invitation to a special event, be sure to choose "Special Event (Invitation Only—Code Required)" as one of your workshop selections below. A new box will appear below the workshop selection fields where you can enter your invitation code. Note: If you need to register for multiple invitation only events, remember to copy the registration codes for each event into the box below with each code separated by a comma!

Workshop Selection 1 (required):

Workshop Selection 2:

Workshop Selection 3:

Workshop Selection 4:

If you received an invitation, please enter your registration code here:

Accessibility:

Please indicate if special accommodations are needed and the nature of the special accommodation (eg. wheelchair access, etc.). These requests should be made 3-weeks in advance.

Please use the field below to relay any questions, comments or issues you would like to have addressed:

Note: Online registration does not necessarily confirm or guarantee your registration.
Confirmation of registration will be emailed to registrant no later that three weeks prior to the workshop/webinar. If you do not receive a registration confirmation prior to three weeks before the day of the workshop/webinar for which you registered, please call our office at 618-825-3968 to confirm your registration.

There may be photos taken at STAR NET events for fun and promotion. Please be aware that your image and likeness may appear digitally on the STAR NET website and social media or on printed materials in the future.

Online Registration

Personal Info

Location/Address & Professional Info

Attendance Agreement

IEIN—Illinois Educator Identification Number

Gateways to Opportunity-Illinois Professional Development System

Required Attendance Information for Parent Evening Registration

To Register, select workshop(s) below by date and title

Get in Touch:

Statewide Resources:

Personal Info

Location/Address & Professional Info

Attendance Agreement

IEIN—Illinois Educator Identification Number

Gateways to Opportunity-Illinois Professional Development System

Required Attendance Information for Parent Evening Registration

To Register, select workshop(s) below by date and title

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Get in Touch:

Statewide Resources: