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Ag Ed Conference Registration 2008

June 24-26, 2008
Gateway Hotel & Conf. Center, Ames, IA

CALL the Hotel to reserve a room. (This will NOT be done automatically!)
Gateway Hotel Phone Number: 515-292-8600

PRINT a copy of this complete form, for your records, BEFORE you click "submit."

Name


A red asterisk (*) indicates required questions.


  1. Name*


  1. School or College*


  1. Address*


  1. City, State Zip*


  1. Email Address*


  1. Telephone


  1. Cell Phone Number (optional)


  1. Are you a current IAAE member?
    Yes
    No


  1. To Register for the "FULL 3-DAY" conference, select the rate, (below).

    Items #9 thru #12, select ONLY one conference rate. (ie., Full, Tuesday, Wednesday, or Thursday.)


    IAAE member -- $175.00
    Non-member -- $225.00


  1. To register for "TUESDAY ONLY", select the rate. (below)
    IAAE member -- $85.00
    Non-member -- $100.00


  1. To register for "WEDNESDAY ONLY", select the rate. (below)
    IAAE member -- $90.00
    Non-member -- $105.00


  1. To register for "THURSDAY ONLY", select the rate. (below)
    IAAE member -- $85.00
    Non-member -- $100.00


  1. IAAE Instructional Materials Packet -Ag Math Activities- To Order (select rate):
    IAAE member -- $125.00
    Non-member -- $150.00


  1. Rank the FOLLOWING - TUESDAY - Curriculum Essentials- -Model Core Curriculum workshops. Rank 1-8 (ex. 1=first choice to attend)

    (Rank one selection with a 1; one selection with a 2; etc.)
        1 2 3 4 5 6 7 8
    a. Plant Systems  
    b. Animal Systems  
    c. Natural Resources Systems  
    d. Power, Structural & Technical Systems  
    e. Agribusiness Systems  
    f. Environmental Systems  
    g. Food Prooducts & Processing Systems  
    h. Livestock Evaluation Clinic for Coaches  


  1. Rank the FOLLOWING -WEDNESDAY - mini-workshops 1-10 (ex. 1=first choice)
        1 2 3 4 5 6 7 8 9 10
    a. Proficiency Workshop  
    b. Agri-Science Projects/Agriscience Fair  
    c. World Food Prize/Borlaug Internships  
    d. Program Standards  
    e Classroom Assessments: Using Bloom's Taxonomy  
    f. IPERS  
    g. Effective Uses for Teaching Science in a Greenhouse/Land Lab  
    h. Livestock Evaluation Clinic for Coaches  
    i. DTN  
    j. Environmental First - Farm Bureau Grants  


  1. THURSDAY CDE Workshops, June 26, 2008 (rank 1-6...1=first choice)
        1 2 3 4 5 6
    a. Agronomy CDE  
    b. Ag. Communications CDE  
    c. Meats CDE  
    d. Envirothon  
    e. Floriculture  
    f. Ag Mech CDE  


  1. CREDIT- AEA RELICENSURE or DRAKE UNIV. GRADUATE Credit (select one): (payable on-line or at registration)
    I do NOT plan to enroll for credit.
    I plan to enroll for AEA-relicensure ($25.00)
    I plan to enroll for Drake Graduate Credit ($90.00)


  1. Do you have a Purchase Order? If so, please enter the PO NUMBER :


  1. Do you need an INVOICE sent to your school?
    Yes
    No


  1. RECREATION - MONDAY (select one)
    I do NOT plan to participate in either.
    I plan to GOLF MONDAY afternoon.
    I plan to BOWL MONDAY.


  1. MONDAY EVENING TOUR OPTION- Channel Bio Tour (includes meal)
    I plan to attend the MONDAY EVENING tour to Channel Bio.
    I do NOT plan to attend the MONDAY EVENING tour.


  1. SPOUSE or GUEST REGISTRATION --BELOW

    IF NOT NEEDED, SCROLL TO THE BOTTOM of this screen; then click SUBMIT.

    SPOUSE OR GUEST NAME/NAMES (separate names with a COMMA)


  1. NUMBER of TUESDAY NOON LUNCHES you wish to order @ $15 each.


  1. NUMBER of TUESDAY EVENING - PICNIC - MEALS you wish to order @ $25 each.


  1. NUMBER of WEDNESDAY BREAKFASTS you wish to order @ $15 each.


  1. NUMBER of WEDNESDAY NOON LUNCHES you wish to order @ $15 each.


  1. NUMBER of WEDNESDAY EVENING - PICNIC - MEALS you wish to order @ $25 each.


  1. NUMBER of THURSDAY BREAKFASTS you wish to order @ $15 each.


  1. NUMBER of THURSDAY NOON LUNCHES you wish to order @ $15 each.





Dale Gruis
Agricultural Education Consultant - State FFA/PAS Advisor
Iowa Dept. of Education
Des Moines, IA