Attendance Form
Event Information
Event Name
Start Date
End Date
Start Time
End Time
Organization
Type of Organization
Illinois Education Organization (i.e., school district, private school, ROE/ISC, association, etc.)
Non-Illinois Education Organization
Vendor
Independently Employed or Retired
Select Your Organization
If your institution is not listed, it may be included under a different name. To request an Illinois organization be added to the list, please email support@ltcillinois.org.
Name of Vendor or Non-Illinois Organization
Address
City
State
Zip
Attendance Information
First Name
Last Name
Phone Number
Email
** ReType Email
Job Title
Primary Performance Responsibility
Please select...
Technology Leader
Technology Support Staff
Instructional Technology Leader
District Leader
Building Administrator
Teacher
Curriculum/Instruction Leader
Instructional Coach
PD Staff
Librarian or Media Leader
Special Education Leader
Business Officials
Facility Manager
Support Staff
Consultant
Vendor/Sales Representative
Other
Unknown
EventID
Email Doesn't Match Message
Success
Default Email Validation Text
Event Record Type
Conditional Picker
Please select...
a
b
c
Registration Cost
Please select...
free
paid
Target Audience
Please select...
Parent
Other
Account - Independent/Retired
Account - Illinois Org ID
AccountID
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