Online Registration

University Place Conference Center and Hotel
Indiana University - Purdue University Indianapolis
Indianapolis, IN
April 7-8, 2011

Please Note

• March 5 is the closing date for out- of- state participants who need air-travel and hotel accommodation
• March 25 is conference registration deadline ( especially for Noyce Scholars who need certificates for Professional Development)

This two day conference, beginning April 7th at 1:00 pm and ending at 3:00 pm on the 8th, is sponsored by the National Science Foundation and IUPUI, will bring together Noyce PIs and Noyce scholars in the Midwest states for the purpose of discussing common goals, strategies, and challenges of the Robert Noyce Teacher Scholarship Program. NSF will fund travel, one night of lodging, and meals for up to 170 participants. For those who need air transportation, please register by March 5th. Conference registration deadline is March 25th, 2011. Late registrations will be contingent on space and fund availability.

We invite members from all Midwest Noyce projects to send a team of 2 to 4 participants (including PIs, CoPIs, and Noyce scholars) from each project. Please complete all the information requested below. Some fields will require you to expand on your selection, so pay close attention to all items. Once you have completed the application, click the Review Form button to continue.

ONE: Contact Information

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First Name:	Required.Invalid Last Name: Required.Invalid
Name on Conference Badge:	Required.Invalid
Home Street Address:	Required.Invalid.
Apt #, Suite #.	Required.Invalid
City:	Required. State: Arkansas (AR) Idaho (ID) Illinois (IL) Indiana (IN) Iowa (IA) Kansas (KS) Kentucky (KY) Michigan (MI) Minnesota (MN) Missouri (MO) Nebraska (NE) North Dakota (ND) Ohio (OH) Oklahoma (OK) South Dakota (SD) Texas (TX) West Virginia (WV) Wisconsin (WI) Other Required Zip: Required.Invalid
Daytime Phone:	Required.Invalid Cell Phone: Required.Invalid
Location/Name of Noyce Project:	Select Appalachian College Association Arkansas State University Main Campus Boise State University Case Western Reserve University - Fisk Noyce Scholarship Program Case Western Reserve University - TF/MTF Planning Grant Chicago State University Cleveland State University East Central University Eastern Michigan University Illinois State University Indiana State University: Phase II Scholarship & Stipend Indiana State University Indiana University-Bloomington IUPUI - Urban Educators: Robert Noyce Scholarship IUPUI - Advance Urban Learning: Teach Science IUPUI - Urban Educators: Math & Science-Phase II Kansas State University Kentucky Science & Technology Council Marquette University Michigan State University - Phase II: Preparing Teachers for a New Era Michigan State University - Preparing Teachers for a New Era Michigan Technological University North Dakota State University Fargo Northern Kentucky University Research Oakland University Ohio University Purdue University Saint Ambrose University South Dakota State University Southern Illinois University at Carbondale University of Central Oklahoma University of Chicago University of Cincinnati University of Cincinnati, Main Campus University of Illinois at Chicago University of Illinois at Champaign -Urbana University of Kansas Center for Research Inc. University of Kentucky Research University of Louisville Research Foundation Inc University of Michigan Ann Arbor University of Minnesota-Twin Cities University of Missouri-Columbia: - Top Notch Teachers University of Missouri-Columbia: - Theory 2 Practice University of Missouri-Columbia: - Supporting Career Changers University of Missouri-Kansas City University of Nebraska Lincoln - Mathematics Teaching... University of Nebraska Lincoln - Science Scholars... University of Northern Iowa University of Toledo University of Wisconsin-Oshkosh Wayne State University West Virginia University Western Kentucky University Research Foundation Wittenburg University Other Please select an item.
Role in Project:	PI/Co PI Noyce Pre-Service Noyce In-Service Other If you are seeking funds for substitute teacher pay, please contact us for more information. Email Ashley Danner Please Describe:
STEM Discipline:	Science Tech/Engineering Math Other Please Describe:
STEM Discipline Subgroup	Urban Rural Urban/Rural   Please Describe:
What is the focus of your project?
Do you expect 100% funding or will you be paying for some of the conference?	Need Total Funding Partial Funding Pay Own Way Please Describe:
Please include any additional notes, special accommodations, or dietary needs

TWO: Poster Session

Would you like to bring a poster with you to present at the conference?

Yes, I will be bring a poster to the conference No, I will not be bringing a poster Participants are welcome to present a poster on Noyce-related topics, including best practices, evaluation outcomes, scholar recruitment or mentoring, etc. We will contact you shortly concerning the details of the poster session.

THREE: Hotel and Lodging

Do you need a hotel reservation for the conference? Conference rooms will be paid for on Thursday night only. You may reserve a room at the hotel for Wednesday or Friday night with the discounted government rate of $94.00/night + tax. To view details on the hotel, click here.

Yes, I need a room for the event No, I do not need a room for the event Wednesday Thursday (paid) Friday Check any other days in which you would like to reserve a room. All rooms are single occupancy rooms. Do you have a specific person you would like to share a room with? Roommates Name:

FOUR: Transportation

Reimbursement will be available for those individuals traveling greater than 30 miles for this event.

I am local and will not need reimbursement I will be driving and will need mileage reimbursement We look forward to seeing you! Please be sure to maintain accurate mileage counts on your trip To schedule air transportation, contact Ashley Danner. When writing Ashley, be sure to include your choices of airports to fly from and some options on departure times.

FIVE: Review and Submit Application

Be sure all fields are completed. If you have previewed the application and feel it is complete, simply press the button Review Form below.

Please write the characters you see in the image left. A value is required.Incorrect