Join Now!
Individual
Dual Membership
School/Institution
Schools To Watch
About
Criteria
Press Release
Self-Study and Rating Rubric
Application
Re-Designation Application
Illinois Horizon Schools: Schools to Watch Directory
Network
Home
University
Exploration
Partnership
Demonstration
Horizon
Renewal
Directory of Network Schools
Resources
Event Handouts
Mini Grants
Teaching Ideas
Home
Important Dates
November Network Institute
November 19, 2008
Urbana, Illinois
Holiday Inn
Registration coming soon!
Illinois Middle Grades Network - BRONZE LEVEL RENEWAL APPLICATION
Institution Information
School Name:
*
Address:
*
City:
*
State:
*
ZIP Code:
*
Phone:
*
Fax:
*
District Name:
*
District City:
*
Administrator Information
First Name:
*
Last Name:
*
Email:
*
Complimentary Members
Assign your two Complimentary Individual Memberships.
Member One
First Name:
Last Name:
Email:
Member Two
First Name:
Last Name:
Email:
Billing Information
Payment Options:
Check enclosed with application _______________
Pay with Purchase Order _____________
Bill-School
Bill-District
Online
Address if different from above:
Address:
City:
State:
ZIP Code:
When you complete the form you will be redirected to an online payment page. If you would rather not pay online, please print this form (by clicking the printer icon below) and mail it to AIMS with your payment.
AIMS
University of Illinois Champaign-Urbana
510 Devonshire Drive
Champaign, IL 61820
Answer:
*
To combat spam, please enter the code in the image.
