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The University of Chicago
Network for College Success
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Register for the Data Shift
First Name
Last Name
Title/Occupation
School/District/Organization
Business Address: Street
Business Address: City
Business Address: State
Business Address: Zip Code
Email
Phone
Registering as:
Standard Rate Participant: $1000 (by credit card)
CPS Educator
MOU payment
I have read, understand, agree to the Cancellation Policy.
Registrants who are unable to attend The Data Shift may request a full refund if NCS is notified of the cancellation
at least 14 days prior to the event. Registrants canceling within 14 days of the event will not be eligible for a refund and must pay the registration cost regardless of attendance.
Yes
Media Consent
By attending this event, I grant the Network for College Success (NCS) permission to take and publish photographs and video of me for future use for NCS's marketing purposes and/or materials. Marketing purposes and materials include, but are not limited to: promotional flyers and videos, the NCS website, NCS e-blasts, and social media outlets. In granting permission to NCS, I am aware that the use of my image and voice may be included in stories, photographs and/or video, related to and on behalf of NCS. I am also aware that NCS would have rights to use any stories, photographs, or videos at its discretion.
Yes
Dietary Restrictions (For 10/21 Convening)
We are committed to ensuring that everyone has a pleasant dining experience.
We are able to accommodate the dietary restrictions listed below.
However, if your specific dietary needs are not addressed, please feel free to bring your own breakfast or lunch. Your comfort and dietary preferences are important to us, and we want to make sure you're well taken care of. Thank you for your understanding and cooperation.
None
Dairy Free
Gluten Free
Vegan
Vegetarian
We strive to host inclusive, accessible events that enable all individuals to engage fully. Please let us know if you need specific accommodations below.
What do you hope to gain from this network?
How did you hear about The Data Shift?
NCS Coach
Team Member
LinkedIn
Instagram
Email
NFSI
Other
IL Educators ONLY - Provide your IEIN # (IL Educator Identification Number) in order to receive next steps on obtaining ISBE clock hours. If you do not provide one, you will not receive information on next steps.