Editing previous response:

Please fix the highlighted areas below before submitting.

32nd Annual Educational Interpreters Institute Registration Form

EII Logo 32nd Annual Educational Interpreters Institute

July 15-18, 2024

Registration Form

Name:*

Answer required for "Name:"

Gender (for assignment of roommate)

Answer required for "Gender (for assignment of roommate)"

Home Address*

Answer required for "Home Address"

School System Where Presently Employed*

Answer required for "School System Where Presently Employed"

School Email (If applicable)

Answer required for "School Email (If applicable)"

Phone*

Answer required for "Phone"

Email Address:*

Answer required for "Email Address:"

Emergency Contact:*

Please include day and evening phone numbers.

Answer required for "Emergency Contact:"

Relationship:*

Answer required for "Relationship:"

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

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

Are you a certified Interpreter*

Answer required for "Are you a certified Interpreter"

Yes

RID

EIPA

BEI

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

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

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

Do you want housing on TSD campus?*

Answer required for "Do you want housing on TSD campus?"

Yes

Name of preferred roommates/housemates?

Answer required for "Name of preferred roommates/housemates?"

Have you discussed it with these people?

Answer required for "Have you discussed it with these people?"

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 *

Answer required for "Confirmation Email"