⚠️ Notice: If you are registering for IBTE and using a PO, you must upload copy of your PO available while completing this form. Professional Development Registration Register for a professional development course with Biotility "*" indicates required fields Step 1 of 3 - Personal Information 33% Personal InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Enter Email Confirm Email Phone*School Name / Organization* Job Title School District* Is your school a PLTW Biomedical School?* Yes No NSF Grant Participation*Are you participating in this professional development course as part of National Science Foundation Grant No. 2054895? Yes, I am participating in the NSF Grant No, I am NOT participating in the NSF Grant How did you hear about this course? Newsletter Word of Mouth Web Search Conference Facebook Instagram LinkedIn Twitter Other HiddenHow did you hear about this course?Please ChooseWord of MouthNewsletterConferenceWeb SearchTwitterFacebookLinkedInInstagramOtherSubscribe to our monthly newsletter? Yes, I would like to subscribe to Educator Extra Course SelectionSelect the course(s) you wish to register for:* Industrial Biotechnology Teacher Experience (IBTE) Teaching cGLP as a Workplace Skill: Select Course Date*Note: All courses will take place 4:00-7:30pm ET Tuesday, March 1, 2022 Teaching cGMP as a Workplace Skill: Select Course Date*Note: All courses will take place 4:00-7:30pm ET Tuesday, March 8, 2022 Teaching cGDP as a Workplace Skill: Select Course Date*Note: All courses will take place 4:00-7:30pm ET Tuesday, March 15, 2022 Using CAPA to Transform Laboratory Errors into Real-World Scenarios: Select Course Date*Note: All courses will take place 4:00-7:30pm ET Tuesday, March 22, 2022 To register for the exam in addition to the BACE Administrator Workshop, please also select "BACE for Educators" from the course list above. Once you have selected your courses, please choose from the course dates listed below.IBTE Cohorts*Both cohorts have asynchronous training beginning May 1. Please select from the following in-person cohort options for the final week in Alachua, Florida. Note that you are responsible for your own housing arrangements. Cohort 1: June 19-23 Cohort 2: June 26-30 Take the Biotechnician Assistant Credentialing Exam (BACE)*Following the week in Alachua, you will have the option to challenge the BACE and earn the credential. Please choose on of the options below. Live Testing Option on Friday (Cohort 1 - June 23; Cohort 2 - June 30) Remote Testing Option (complete the exam online within 7 days of completing IBTE) I do not wish to challenge the BACE Order Summary & PaymentKnow Your ABCs: Applications of Biotechnology for the ClassroomResidential Package (housing included) February 8-12, 2021 Price: Know Your ABCs: Applications of Biotechnology for the ClassroomCommuter Package (housing NOT included) February 8-12, 2021 Price: Industrial Biotechnology Teacher ExperienceCohort 1: June 19-23, 2023 Price: Industrial Biotechnology Teacher ExperienceCohort 2: June 26-30, 2023 Price: BACE Administrator WorkshopJune 25, 2020 Price: BACE for EducatorsRemote Testing Price: Teaching Good Laboratory Practices (GLP) as a Workplace Skill Price: Teaching Good Manufacturing Practices (GMP) as a Workplace Skill Price: Teaching Good Documentation Practices as a Workplace Skill Price: Using CAPA to Transform Laboratory Errors into Real-World Scenarios Price: Coupon Code DiscountTotal Billing Options*Please select your payment method from the following options: Invoice Purchase Order Selecting invoice will produce an invoice that will be due within 30 days of purchase. Selecting purchase order requires a purchase order to be attached to this registration. The invoiced amount will be due within 30 days of the program closing.Purchase OrderPlease upload the Purchase Order (PDF) hereAccepted file types: pdf, Max. file size: 32 MB.Payment Method*Please select your payment method from the following options: Credit Card or pCard Check
