Teacher Recruitment and Retention Conference Registration Form

William Carey University and Gulfport School District will host the 3rd Annual Statewide Teacher Shortage Conference February 7, 2024. The day-long event for educators will be held on the William Carey University campus in Hattiesburg from 8:00-3:30. Please register soon as space is limited.

Date Date / MM / DD YYYY
Conference Attendee Conference Attendee Title First Last Suffix
Organization/School District
Position

Position 1st Year 3rd Year Mentor Administrator
Email
Cell Phone Cell Phone - ### - ### ####
Organization Address Organization Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
If applicable, I would like to receive CEU credit. Interested participants will be given the proper credit form at the conclusion of the conference and awarded credit based upon attendance. (Up to .6 credits)

If applicable, I would like to receive CEU credit. Interested participants will be given the proper credit form at the conclusion of the conference and awarded credit based upon attendance. (Up to .6 credits) Yes No
T-Shirt Size

T-Shirt Size Small Medium Large X-Large 2XL 3XL
Once your registration has been submitted, you will recieve a submission confirmation to the email address listed in the application. *Payment, paid to PREPS, will need to be submitted during the conference registration. Payment: $100 for PREPS districts $125 for non-PREPS districts Please forward this registration link to any colleague you feel may be interested in attending. https://forms.wmcarey.edu/view.php?id=15017