To register for this event, please complete the following registration form.
Be sure to use your  legal name  and  home address  when completing the form. If you are eligible to recieve the instructor stipend (limit one per year), we will send it to your home address.
Email *
(Legal) First name *
Middle name *
Last name *
High School *
I am a/an *
Teaching discipline *
Home street address *
Home city *
Home state *
Home zip *
Have you ever been a paid employee in the um-system (umsl,mizzou,s&t,umkc) *
* = required field