2017 IL Oil & Natural Gas Summer Program
for Science & Math Teachers Registration Form
First Name:
Last Name:
Gender:
Male
Female
(used for room placement)
If possible, please use your home email.
This is for receiving future updates about
the program. Some school servers will not
except certain outside email or attachments.
Email (home if possible)
Address:
City-ST- Zip - County:
(County you teach in)
Phone:
School Name:
School City:
Grade(s) Teaching:
Subject(s) Teaching:
WORKSHOP:
High School Core Energy Science
A
Must choose
one from
group A
&
one from
group B
for registration
to be complete.
(Grad Credit marked by
default)
Middle/High School Core Energy Math
Middle School Petro Science
Elementary Petro Science w/Common Core Math Component
Have attended prior IPRB Workshop
Choose One (grad credit marked by default)
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 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
notification is required
if you must cancel for
some reason so that
IPRB does not have to
pay for your room and
board when you are
not present.
Please help us
keep this
Program
FREE!