2018 IL Oil & Natural Gas Summer Program
for Science & Math Teachers Registration Form
First Name:
Last Name:
Gender:
Male
Female
(used for room placement)
Email (home if possible)
Please use your home email address. This is for receiving future
updates about the program. Some school servers will not except  
outside email & attachments.
Home Address:
Very Important!
PLEASE - Two week advance
notice required if you must
cancel so that IPRB is not
charged for your room and
board!
City:
State:
Zip:
Phone:
School Name:
(School County)
School City:
Grade(s) Teaching:
Subject(s) Teaching:
Must choose
one from
group A


&

one from
group B
for registration
to be complete.
WORKSHOP: MUST CHOOSE ONE
High School Core Energy Science
A
Middle/High School Core Energy Math
Middle School Petro Science
Elementary Petro Science w/Common Core Math Component
Have attended prior IPRB Workshop
MUST CHOOSE ONE BELOW FOR REGISTRATION TO BE COMPLETE:
B
Earn 37 1/2 Professional Development Hours
Earning  2 Graduate Credits & 7 1/2 Professional Development Hours
Have attended prior IPRB Summer Conference (not eligible to attend a 2nd times)
*Please check mileage before
deciding to commute.
Must attend every session to
acquire Grad Credit or
Professional Development Hrs.
Preferred room mate (another participant)
Will commute, no overnight room needed *
(all rooms will be double occupancy)
VERY IMPORTANT
MESSAGE!

IPRB SUMMER PROGRAM - Monday through Thursday noon:

  • Includes free lodging and meals
  • IL State Board of Education approves  Graduate Credits & Professional
    Development Hours throughout the state.
  • Limited to a one time attendance

  • Must be teaching grade and subject corresponding with chosen workshop
  • Free take home hands-on curriculum which includes grade specific lessons
    plans and a free lab/class-room activity kit worth hundreds of dollars.

  • Learn from Dr. David Malone of ISU and Petroleum Professionals that work in
    the Illinois Basin.
  • Oilfield tour

  • Earn 37 1/2 Professional Development Hours
  • or earn 7 1/2 Professional Development Hours and 2 Graduate Course
    Credits from ISU, all at no cost to participants.
  • Course number: GEO 306.19 - Petroleum Geology of Illinois
Two week advance
notice required if
you must cancel so
that IPRB is not
charged for your
room and board.
Please help us
keep this
Program
FREE!