2019 Major Cities Training Symposium Registration

Name*

Preferred Name (will be on your name tag and the roster)

First Last

Title*

Organization*

Address*

Please use the address that you want your reimbursement sent to.

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Phone*

Mobile Phone*

TRAVEL INFORMATION

Event location is Embassy Suites in Tampa, FL.
Address: Embassy Suites, 555 N Westshore Blvd, Tampa, Florida 33609

Group rate available until February 24, 2018, subject to availability. Book A Room
Group code: UMI.I

ICN will reimburse travel expenses for airfare, ground transportation, and hotel stay.

Transportation*

I will drive to the training.
I will purchase my own airline ticket and request reimbursement.
I would like for ICN to purchase my airline ticket.
I will not be requesting reimbursement

I expect my total driving miles to be:

Note:What is the mileage, one way, using RandMcNally.com**

Note: ICN has specific policies for purchasing your own airline ticket. DO NOT purchase your ticket without a travel policy. Please contact your project coordinator prior to traveling.

FLIGHT INFORMATION

Please complete this section if ICN will be purchasing your plane ticket.

Name as it appears on your ID*

Please enter your name as it appears on your ID you will present to airport security.

Departure Airport*

Please enter the name of your departure airport

Date of Birth*

MM

DD

YYYY

Gender*

Female
Male

WE WELCOME YOUR INPUT!

What are the top 3 trending topics you would like to see discussed at MCTS 2019?

Does your district have a succession plan in place? Would you like to share the plan with ICN? If so, please send to the Project Coordinator, Erica Covington-Ford at erica@olemiss.edu

What is the percentage of staff eligible for retirement, in your district, in the next five years?

How could ICN assist with ensuring your staff is equipped with training resources and information to perform their jobs effectively?