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32nd Annual Educational Interpreters Institute Registration Form

EII Logo 32nd Annual Educational Interpreters Institute

July 15-18, 2024

Registration Form

Name:*

Answer Required

Gender (for assignment of roommate)

Answer Required

Home Address*

Answer Required

School System Where Presently Employed*

Answer Required

School Email (If applicable)

Answer Required

Phone*

Answer Required

Email Address:*

Answer Required

Emergency Contact:*

Please include day and evening phone numbers.

Answer Required

Relationship:*

Answer Required

Describe the nature of your present work/employment as an interpreter. Include age range of student(s), subject(s), etc.*

Answer Required

Are you a certified Interpreter*

Answer Required

Yes

RID

EIPA

BEI

Do you hold the Tennessee licensure for Educational Interpreters? (School Services Personnel license)

Answer Required

Yes

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

Do you want housing on TSD campus?*

Answer Required

Yes

Name of preferred roommates/housemates?

Answer Required

Have you discussed it with these people?

Answer Required

Signature*

Signature Required

Please make Registration check payable for $100.00 to Tennessee School for the Deaf and write "EII and name of attendee(s)" in the memo section. Mail the check to:

Kristina Roth
Tennessee School for the Deaf
2725 Island Home Blvd.
Knoxville, TN 37920

Deadline for registration is June 7, 2024

Confirmation Email

Confirmation Email *

Email Required