Workshop Registration Form

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Workshop Registration Form

You must register for each training individually using this form.

You will need to enter your IEIN number when you register. If you do not have one, please email Anita at afulkerson@wcisec.org for instructions on how to register.

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Work Email Address *

Your answer

IEIN *

Your answer

School District *

Your answer

Workshop Title *

Your answer

Date of Workshop *

MM

/

DD

/

YYYY

Time of Workshop *

Time

:

AM

PM

Will you be attending in person or virtually? (All CPI is in person) *

In Person

Virtually

Do you need any accommodations? If so, please explain

Your answer

Submit

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