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REGISTER – North ABE Fall Regional
Registrant Information
Name
*
First
Last
Email
*
Enter Email
Confirm Email
ABE Program/Consortium/Site
*
Start typing to find program
OTHER - NOT LISTED HERE
AALC - LeSueur area
Adult Options in Education - Hopkins
AEOA
Alexandria ABE
American Indian OIC/Takoda - Mpls
Brainerd ABE
Burnsville School for Adults
Cass Lake-Bena ABE
Cedar Riverside Adult Ed Collab - Mpls
Central MN ABE - Cambridge-Isanti
Central MN ABE - Freshwater
Central MN ABE - St Cloud Area
CLUES - St Paul
Dakota Prairie/Farmington ABE
DOC: MCF-Faribault
DOC: MCF-Lino Lakes
DOC: MCF-Moose Lake
DOC: MCF-Oak Park Heights
DOC: MCF-Rush City
DOC: MCF-Saint Cloud
DOC: MCF-Shakopee
DOC: MCF-Stillwater
DOC: MCF-Togo
DOC: MCF-Willow River
Duluth ABE
English Learning Center - Mpls
Faribault County ABE - Blue Earth
Federal Bureau of Prisons
GAP School/Change Inc - St Paul
Glacial Lakes ABE
Great Rivers ABE
Hennepin County Corrections
Hiawatha Valley/Red Wing ABE
Hmong Cultural Center
Hubbs Center/St Paul ABE
International Institute - St Paul
Lakes Area ABE
Lakeville ABE
Learning In Style School - Mpls
Literacy Minnesota
Lyndale Education Program/LNA - Mpls
Mankato ABE
Metro EAST ABE - Forest Lake
Metro EAST ABE - Harmony Learning Ctr
Metro EAST ABE - Mounds View
Metro EAST ABE - Roseville
Metro EAST ABE - Stillwater
Metro NORTH ABE - Anoka-Ramsey CC
Metro NORTH ABE - Blaine/main office
Metro NORTH ABE - Brooklyn Center
Metro NORTH ABE - Columbia Heights
Metro NORTH ABE - Elk River
Metro SOUTH ABE
Mille Lacs Band of Ojibwe ABE
Minneapolis Adult Education
Moorhead ABE
MORE House - St Paul
Neighborhood House - St Paul
NE Regional Corrections Center
NW Indian Community Devel Ctr - Bemidji
NW Service Coop ABE
Osseo ABE
Ramsey County Corrections
RAVE - Rosemount/Apple Valley/Eagan
Red Lake ABE
Robbinsdale Adult Academic Program
Rochester ABE
SCRED/St Croix River Ed District
Somali Success School - Mpls
Southeast ABE - Albert Lea
Southeast ABE - Austin
Southeast ABE - Faribault
Southeast ABE - Owatonna
Southeast ABE - Winona
South Suburban ABE
SouthWest Metro Intermediate District
Summit Academy OIC - Mpls
SW ABE - Fairmont
SW ABE - Marshall
SW ABE - MN West/Jackson
SW ABE - Mountain Lake
SW ABE - MRVED/Granite Falls
SW ABE - Worthington
ThinkSelf/Deaf ABE - St Paul
Tri-County Corrections
Vietnamese Social Services
WEST ABE
White Earth ABE
ATLAS
MDE
OTHER: If not listed above - what is your ABE program?
*
Do you need Administrator CEUs?
*
Yes
No
ATLAS has reserved a room block for Thursday night, and is able to arrange and pay the hotel directly for all guest rooms for those travelling over 50 miles to the venue. Please confirm:
*
PLEASE DO NOT CONTACT THE HOTEL DIRECTLY REGARDING GUEST ROOMS. All questions regarding guest rooms should go to Gail Rutan (
[email protected]
)
YES, I need a guest room in the ATLAS room block and ATLAS can pay my room and tax.
YES, I need a guest room in the ATLAS room block, but my ORGANIZATION needs to pay my room and tax.
NO, I do not need a guest room.
Depending on hotel availability, we may need to double people up in rooms. Who would you prefer to share a room with?
First
Last
Attendance
I will be attending the afternoon session (1:30-4:30pm) on Thursday.
*
Yes
No
I would like a light dinner provided on Thursday.
*
NOTE: This is only for those attending Thursday evening.
Yes
No
I will be attending the concurrent sessions on Thursday evening.
*
Yes
No
I will be attending the sessions on Friday.
*
Yes
No
Additional Needs
Dietary restrictions/allergies that we can accommodate:
(If you have other dietary requirements, please feel free to bring your own food.)
Gluten-free (for those with medical restrictions or allergies)
Dairy-free (for those with medical restrictions or allergies)
Vegetarian
Peanut allergy
Other nut allergy
Multiple restrictions - will receive Garden Vegetable salad with vinaigrette
Do you require ASL interpretation?
Yes, I need ASL interpretation arranged for me.
Other NON-dietary needs (to be accommodated to the best of our ability):
NOTE: Gail Rutan will email you directly about these needs.
Payment
North ABE Fall Regional Registration Fee
*
$15 - Thursday ONLY
$25 - Friday ONLY
$25 - Thursday AND Friday
Total
$0.00
Payment Options:
*
ALL CHECKS MUST BE MAILED TO: Hamline University, ATTN: Accounts Payable, 1536 Hewitt Ave, St Paul, MN 55104 (DO NOT MAIL CHECKS TO ATLAS!)
Please bill my organization
Personal check
PayPal or credit card
ATLAS/MDE state staff
PO or Check Number (if known)
**NOTE: If you are paying by personal check, you must mail the check PRIOR to the event. Make checks out to HAMLINE UNIVERSITY (not ATLAS).
**NOTE: If paying with PayPal/credit card, please save your PayPal receipt in order to verify payment.
Contact Us
Gail Rutan
Senior Events Manager
[email protected]
