Ohio School Improvement Institute

This is not an online registration

Please print the registration form once you have completely filled it out and before you hit submit. Registering without payment, does not constitute a reserved spot at the conference. Payment and the printed registration form are both needed to complete the registration process and reserve a seat. Send the form, along with your PO or check to: OSII, c/o N. Pietras, HSTW, 2801 W. Bancroft MS 462 Toledo, OH 43606. If you are paying with credit card, you will be prompted to another website to pay through Educational Service Center of Lake Erie West

First Name *

Last Name *

School/Organization *

Home Address *

Address 2

City *

State *

Postal Code *

Phone Number *

Fax Number

School Email Address *

Personal Email Address *

County *

Region *

Northwest

Northeast

Central/Southeast

Southwest

I agree to the Cancellation Policy set forth by the Ohio School Improvement Institute that NO CANCELLATIONS are accepted. NO REFUNDS are allowed, but SUBSTITUTIONS ARE ACCEPTED. *

Yes

No

Registration Fee *

Full Conference $100.00

Payment Options Select ONE only *

Purchase Order (Payable to ESC of Lake Erie West)

Check (Payable to: ESC of Lake Erie West)

Credit Card

Note: POs and checks need to be mailed to: OSII, c/o N. Pietras, HSTW, 2801 W. Bancroft MS 462 Toledo, OH 43606. Please print registration form before leaving this site. Credit cards will be processed through Educational Service Center of Lake Erie West. You will be redirected once you've completed your registration.