New Literacies Teacher Leader Institute Registration

The fee for registraion is $500 per attendee. Space is limited to 50 participants, so register early. Registration payments must be received by June 1, 2009.

* Indicates required fields

In compliance with the Americans with Disabilities Act, NC State will honor requests for reasonable accommodations made by individuals with disabilities. Requests can be served more effectively if notice is provided at least 10 days before the event. Direct accommodation requests to hiller_spires@ncsu.edu.

Contact Information

• First Name *
• Last Name *
• Email *
• Address *
• Address (Cont'd)
• City *
• State *
• Zip *
• Day Phone
• Evening Phone

Educator Information

Years of Teaching Experience

Grade Level(s) *

Subject Area(s) Taught *

School Information

School Name

School District

School Address

School Phone

Background Information

Please briefly explain why you are interested in participating in the Institute

What are you expecting to gain from attending the Institute?

How did you hear about the New Literacies Teacher Leader Institute?

Describe Your Current Uses of Technology

How do you use technology in your personal life?

How do you use technology in your professional life?

How do you use technology with students in the classroom?

Payment Method

Pay instanly online via PayPal
Mail your payment in the form of a check