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31st Annual Educational Interpreters Institute Registration

Please complete the form below. Required fields marked with an asterisk *

EII Black Logo TSDK Purple Logo

31st Annual Educational Interpreters Institute

July 10-13, 2023

Contact Information

First Name

Answer Required

Last Name

Answer Required

Gender*

*For assignment of roommate

Answer Required

Home Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

School System Where Presently Employed

Answer Required

Personal Email Address

Answer Required

Work Email Address

Answer Required

Mobile Phone

Number Required

Work Phone

Number Required

Emergency Contact Information

First Name

Answer Required

Last Name

Answer Required

Relationship

Answer Required

Mobile Phone

Number Required

Home Phone

Number Required

Which credentials do you currently have? (check all that apply)

Answer Required

None

RID

EIPA

BEI

QAS

RID number (for CEU purposes)

Answer Required

Do you have any allergies/dietary restrictions/or other things you would want the staff to be aware of?

If yes, please indicate:

Answer Required

Are you requesting housing on the TSD campus?

Answer Required

Yes

If asking for housing, name of preferred roommate/housemates:

Answer Required

Have you discussed housing with these individuals?

Answer Required

Yes

Today's Date

Answer Required

Please make registration check or money order payable for $100.00 to Tennessee School for the Deaf and write “EII” in the memo section. Mail the check or money order to:

Kristina Roth

Tennessee School for the Deaf

2725 Island Home Blvd.

Knoxville, TN 37920

Deadline for registration is June 1, 2023

Confirmation Email

Email Required