5th Great Teachers Summit Registration

5th Annual Great Teachers for Our City Schools National Summit:

Building Community Support for Urban Student Success
April 11-13, 2012
Embassy Suites Denver Downtown
1420 Stout Street
Denver, CO 80202
(303) 592-1000

GENERAL REGISTRATION FORM

Please complete the entire registration form and submit via the Register button at the bottom of this page. Please refer to step three for payment options.

Step One: Registrant Information

All correspondence concerning the Great Teachers for Our City Schools summit will be sent to the address you provide below. Your name, organization, mailing address, email address, phone and fax numbers will be published in the summit attendee roster.

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Step Two: Additional Information

Please indicate your role in your organization:

  • Higher Education Administration/Faculty
  • K-12 Education Administration/Faculty
  • Teacher
  • TQE Director
  • State Board of Education/Department of Education Member
  • Non- Profit Organization Member
  • Union Representative
  • U.S Department of Education
  • Business Leader
  • Foundation Official
  • Other(Please indicate)
Step Three: National Summit Registrant Fees

Registration fees include: meals and summit materials. 100% of all registration fees are allocated to the CUE scholarship fund for urban teacher education students.

Three-Day Summit Registration: April 11-13, 2012

Early Bird

Payment received on or before March 1, 2012 $300

Regular Registration

Payment received between March 2 - March 28, 2012 $350

Late Registration

Payment received between March 29 - April 6, 2012 $350

Daily Rate: April 11-13, 2012

Daily Registration fee $175

The last day to register is: April 6, 2012

There will be no on-site registration.

Please indicate the specific event that you are registering for:
Three-Day Summit
Daily registration(Check One)
  • Wednesday, April 11, 2012
  • Thursday, April 12, 2012
  • Friday, April 13, 2012
Step Four: Payment

Registration Fee:$

If you have an identified Registration Code, enter here:

Payment Method

  • Credit Card:If paying by credit card, complete the registration form and follow the link on the next page to pay.

  • For other payment options (check or purchase order), submit this form and contact Carla Mirabelli to make payment arrangements at 303.352.4956
Step Five:Meal Function Registration

Please select the meal functions you will attend

  • Wed. 4/11 - Opening Plenary and Reception
  • Thurs. 4/12 - Plenary Breakfast
  • Thurs. 4/12- Roundtable Luncheon
  • Fri. 4/13 - Plenary Breakfast
  • Fri. 4/13 - Closing Luncheon
Step Six: Dietary Requirements
  • Vegetarian
  • Food allergy
  • Diabetic
  • Other:
Step Seven: Liability Waiver and Emergency Contact:

Please read and sign.

I agree and acknowledge that I am participating in the CUE Summit and activities at my own free and intentional act and assume responsibility for my own well-being

Hotel Accommodations: Hotel rooms should be reserved on or before March 23, 2012. To take advantage of the Group Rate of $179 (plus tax), call the Embassy Suites Denver Downtown at 303-592-1000, and mention the "Great Teachers Summit".

  • • All persons attending all or any part of the conference must register.
  • • A registration badge will be required for admission to ALL conference sessions and meal functions.
  • • No registration will be processed without full payment of the registration fee. Payment in full must accompany the registration form.
  • • All cancellations must be in writing. No refunds will be made for cancellations made after April 6, 2012.
  • • If you have any questions regarding your meeting registration and fees, please contact Carla Mirabelli, 303.352.4956

Please contact us or The Embassy Suites if you have any disability needs or to ask questions about the accessibility of hotel accommodations and meeting facilities.

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