JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Summer Institute 2023 Registration
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Job Title
Your answer
Institution Name
*
Your answer
Type of Institution i.e. University, Small College, Community College
Your answer
Mailing Address - Street Number and Name
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Registration Fees - Choose one. An invoice will be emailed to you to be paid by credit card or check by June 26, 2023.
*
ITTPC - Tutor Training CRLA Member $900.00
ITTPC - Tutor Training Non-Member $1,100.00
ITTPC - Tutor Training + CRLA Annual Membership Bundle $1,000.00
IPTPC - Peer Educator CRLA Member $900.00
IPTPC - Peer Educator Non-Member $1,100.00
IPTPC - Peer Educator + CRLA Annual Membership Bundle $1,000.00
CRLA Tutor Handbook Fees (optional) Choose one. This special pricing is for CRLA Summer Insitute attendees only. One per person. An invoice will be emailed to you to be paid by credit card or check by June 1, 2023.
CRLA Member $60
Non-Member $75
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
