Third Annual Symposium Series on Excellence in Teaching Undergraduate Science and Mathematics: National and Chicago Perspectives February 2, 2001 symposium—Chicago State University March 8, 2001 symposium—University of Illinois at Chicago April 27, 2001 symposium—Northeastern Illinois University Registration Form Participant’s Information (please print): Name __________________________________________ Position ________________________________________ Institution _______________________________________ Department/Discipline ______________________________ Address _________________________________________ City _____________________________ State ________ Zip _____________ E-mail address ___________________________________ Telephone ___________________________________ Fax ______________________________________ ___ I would like all future communication sent via e-mail. Registration for the full series or for individual symposia. Full series ($90) __________ February 2 symposium—Chicago State University Regular ($35) __________, Student ($15) __________ March 8 symposium—University of Illinois at Chicago Regular ($35) __________, Student ($15) __________ April 27 symposium—Northeastern Illinois University Regular ($35) __________, Student ($15) __________ Dinner: Dinner is included as part of the symposium. __________ I would like a vegetarian dinner. Payment: A check for $__________ (made out to UIC–IMSE) is enclosed. Please mail to: Please mail to: 2001 Symposia Registration UIC–IMSE 950 S. Halsted, Room 2075 (M/C 250) Chicago, IL 60607 Please use a separate form for each participant. Duplicate as necessary.