Info about you:
Your email address -
1. You may print out this form and mail it with a check made out to Barry Sweeny for the $90 membership fee to Barry Sweeny, 26 W 413 Grand Ave. Wheaton, IL 60187.
2. You may complete the rest of this form, press the "Submit" button, and pay by Credit Card:
The Membership/Consultation Package for the Model Teacher Induction Program costs $90 for an entire calendar year.
Type the user ID name (up to 8 characters) that you will use (Please write it down.)
Type the 6-8 character password you will use (and please write that down too).