Register

International Student Program Intensives

Early Bird Pricing (Until March 1st)

First Person to Register: $725

Per Additional team member: $625

* If you are registering past June 1st, please contact Charity Moon at cmoon@wheatonacademy.org

"*" indicates required fields

International Student Program 2025 Registration*

Reminder: On-site lodging is included in the registration cost!

Register Your Team

SCHOOL/ORGANIZATION INFORMATION

School/Organization Name*

School/Organization Address*

Street Address City State ZIP / Postal Code Country

Type of School (select all that apply)*

Elementary

Junior High

High School

Enrollment*

Number of International Students Enrolled*

Participants

Total number of people from your organization you are registering for today*

Others at my school plan to register for this conference at a later time

Yes

By checking this box, we will email you a discount code that you can share with your team so that they will get the proper multiple attendee discount.

Participant #1 Information

First Name*

Last Name*

Job Title*

Email*

Phone Number*

Intensive Track*

Will you be staying at the Q Center in one its modern single occupancy rooms?

Yes

REMINDER: Cost of room and board is covered thanks to our partnership with the Herzog Foundation!

Dietary Restrictions / Food Sensitivities

None

Dairy

Gluten

Vegan

Other

Other Dietary Restriction / Food Sensitivities

Will this guest be requiring any mobility accommodations?

Yes

Would this guest like to receive a CEU certificate upon the completion of the conference?

Yes

Would this guest like to attend a post-conference session on SEVIS: Tuesday, June 24th afternoon

Yes

This field is hidden when viewing the form

Would this guest like to attend a post-conference session on Foundations of an ELL program: Tuesday, June 24th 1:30-4pm

Yes

NOTE: Spots are limited (Max. 8 participants). Pre-work required. Cost: $150

Participant #2 Information

First Name*

Last Name*

Job Title*

Email*

*Email addresses must be unique for each participant. Please do not use the same email address for multiple participants.

Phone Number*

Intensive Track*

Will you be staying at the Q Center in one its modern single occupancy rooms?

Yes

REMINDER: Cost of room and board is covered thanks to our partnership with the Herzog Foundation!

Dietary Restrictions / Food Sensitivities

None

Dairy

Gluten

Vegan

Other

Other Dietary Restriction / Food Sensitivities

Will this guest be requiring any mobility accommodations?

Yes

Would this guest like to receive a CEU certificate upon the completion of the conference?

Yes

Would this guest like to attend a post-conference session on SEVIS: Tuesday, June 24th afternoon

Yes

This field is hidden when viewing the form

Would this guest like to attend a post-conference session on Foundations of an ELL program: Tuesday, June 24th 1:30-4pm

Yes

NOTE: Spots are limited (Max. 8 participants). Pre-work required. Cost: $150

Participant #3 Information

First Name*

Last Name*

Job Title*

Email*

*Email addresses must be unique for each participant. Please do not use the same email address for multiple participants.

Phone Number*

Intensive Track*

Will you be staying at the Q Center in one its modern single occupancy rooms?

Yes

REMINDER: Cost of room and board is covered thanks to our partnership with the Herzog Foundation!

Dietary Restrictions / Food Sensitivities

None

Dairy

Gluten

Vegan

Other

Other Dietary Restriction / Food Sensitivities

Will this guest be requiring any mobility accommodations?

Yes

Would this guest like to receive a CEU certificate upon the completion of the conference?

Yes

Would this guest like to attend a post-conference session on SEVIS: Tuesday, June 24th afternoon

Yes

This field is hidden when viewing the form

Would this guest like to attend a post-conference session on Foundations of an ELL program: Tuesday, June 24th 1:30-4pm

Yes

NOTE: Spots are limited (Max. 8 participants). Pre-work required. Cost: $150

Participant #4 Information

First Name*

Last Name*

Job Title*

Email*

*Email addresses must be unique for each participant. Please do not use the same email address for multiple participants.

Phone Number*

Intensive Track*

Will you be staying at the Q Center in one its modern single occupancy rooms?

Yes

REMINDER: Cost of room and board is covered thanks to our partnership with the Herzog Foundation!

Dietary Restrictions / Food Sensitivities

None

Dairy

Gluten

Vegan

Other

Other Dietary Restriction / Food Sensitivities

Will this guest be requiring any mobility accommodations?

Yes

Would this guest like to receive a CEU certificate upon the completion of the conference?

Yes

Would this guest like to attend a post-conference session on SEVIS: Tuesday, June 24th afternoon

Yes

This field is hidden when viewing the form

Would this guest like to attend a post-conference session on Foundations of an ELL program: Tuesday, June 24th 1:30-4pm

Yes

NOTE: Spots are limited (Max. 8 participants). Pre-work required. Cost: $150

Participant #5 Information

First Name*

Last Name*

Job Title*

Email*

*Email addresses must be unique for each participant. Please do not use the same email address for multiple participants.

Phone Number*

Intensive Track*

Will you be staying at the Q Center in one its modern single occupancy rooms?

Yes

REMINDER: Cost of room and board is covered thanks to our partnership with the Herzog Foundation!

Dietary Restrictions / Food Sensitivities

None

Dairy

Gluten

Vegan

Other

Other Dietary Restriction / Food Sensitivities

Will this guest be requiring any mobility accommodations?

Yes

Would this guest like to receive a CEU certificate upon the completion of the conference?

Yes

Would this guest like to attend a post-conference session on SEVIS: Tuesday, June 24th afternoon

Yes

This field is hidden when viewing the form

Would this guest like to attend a post-conference session on Foundations of an ELL program: Tuesday, June 24th 1:30-4pm

Yes

NOTE: Spots are limited (Max. 8 participants). Pre-work required. Cost: $150

Participant #6 Information

First Name*

Last Name*

Job Title*

Email*

*Email addresses must be unique for each participant. Please do not use the same email address for multiple participants.

Phone Number*

Intensive Track*

Will you be staying at the Q Center in one its modern single occupancy rooms?

Yes

REMINDER: Cost of room and board is covered thanks to our partnership with the Herzog Foundation!

Dietary Restrictions / Food Sensitivities

None

Dairy

Gluten

Vegan

Other

Other Dietary Restriction / Food Sensitivities

Will this guest be requiring any mobility accommodations?

Yes

Would this guest like to receive a CEU certificate upon the completion of the conference?

Yes

Would this guest like to attend a post-conference session on SEVIS: Tuesday, June 24th afternoon

Yes

This field is hidden when viewing the form

Would this guest like to attend a post-conference session on Foundations of an ELL program: Tuesday, June 24th 1:30-4pm

Yes

NOTE: Spots are limited (Max. 8 participants). Pre-work required. Cost: $150

Participant #7 Information

First Name*

Last Name*

Job Title*

Email*

*Email addresses must be unique for each participant. Please do not use the same email address for multiple participants.

Phone Number*

Intensive Track*

Will you be staying at the Q Center in one its modern single occupancy rooms?

Yes

REMINDER: Cost of room and board is covered thanks to our partnership with the Herzog Foundation!

Dietary Restrictions / Food Sensitivities

None

Dairy

Gluten

Vegan

Other

Other Dietary Restriction / Food Sensitivities

Will this guest be requiring any mobility accommodations?

Yes

Would this guest like to receive a CEU certificate upon the completion of the conference?

Yes

Would this guest like to attend a post-conference session on SEVIS: Tuesday, June 24th afternoon

Yes

This field is hidden when viewing the form

Would this guest like to attend a post-conference session on Foundations of an ELL program: Tuesday, June 24th 1:30-4pm

Yes

NOTE: Spots are limited (Max. 8 participants). Pre-work required. Cost: $150

Participant #8 Information

First Name*

Last Name*

Job Title*

Email*

*Email addresses must be unique for each participant. Please do not use the same email address for multiple participants.

Phone Number*

Intensive Track*

Will you be staying at the Q Center in one its modern single occupancy rooms?

Yes

REMINDER: Cost of room and board is covered thanks to our partnership with the Herzog Foundation!

Dietary Restrictions / Food Sensitivities

None

Dairy

Gluten

Vegan

Other

Other Dietary Restriction / Food Sensitivities

Will this guest be requiring any mobility accommodations?

Yes

Would this guest like to receive a CEU certificate upon the completion of the conference?

Yes

Would this guest like to attend a post-conference session on SEVIS: Tuesday, June 24th afternoon

Yes

This field is hidden when viewing the form

Would this guest like to attend a post-conference session on Foundations of an ELL program: Tuesday, June 24th 1:30-4pm

Yes

NOTE: Spots are limited (Max. 8 participants). Pre-work required. Cost: $150

Participant #9 Information

First Name*

Last Name*

Job Title*

Email*

*Email addresses must be unique for each participant. Please do not use the same email address for multiple participants.

Phone Number*

Intensive Track*

Will you be staying at the Q Center in one its modern single occupancy rooms?

Yes

REMINDER: Cost of room and board is covered thanks to our partnership with the Herzog Foundation!

Dietary Restrictions / Food Sensitivities

None

Dairy

Gluten

Vegan

Other

Other Dietary Restriction / Food Sensitivities

Will this guest be requiring any mobility accommodations?

Yes

Would this guest like to receive a CEU certificate upon the completion of the conference?

Yes

Would this guest like to attend a post-conference session on SEVIS: Tuesday, June 24th afternoon

Yes

This field is hidden when viewing the form

Would this guest like to attend a post-conference session on Foundations of an ELL program: Tuesday, June 24th 1:30-4pm

Yes

NOTE: Spots are limited (Max. 8 participants). Pre-work required. Cost: $150

Participant #10 Information

First Name*

Last Name*

Job Title*

Email*

*Email addresses must be unique for each participant. Please do not use the same email address for multiple participants.

Phone Number*

Intensive Track*

Will you be staying at the Q Center in one its modern single occupancy rooms?

Yes

REMINDER: Cost of room and board is covered thanks to our partnership with the Herzog Foundation!

Dietary Restrictions / Food Sensitivities

None

Dairy

Gluten

Vegan

Other

Other Dietary Restriction / Food Sensitivities

Will this guest be requiring any mobility accommodations?

Yes

Would this guest like to receive a CEU certificate upon the completion of the conference?

Yes

Would this guest like to attend a post-conference session on SEVIS: Tuesday, June 24th afternoon

Yes

This field is hidden when viewing the form

Would this guest like to attend a post-conference session on Foundations of an ELL program: Tuesday, June 24th 1:30-4pm

Yes

NOTE: Spots are limited (Max. 8 participants). Pre-work required. Cost: $150

Payment

Reminder: On-site lodging is included in the registration price!

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Blueprints for Success: Constructing a Tailored English Language Learner Program

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Discount Code

Total

Credit Card

Card Details

Cardholder Name

Pay by check: If you need to pay by check, contact us at cmoon@wheatonacademy.org.

Refund policy: If you require a refund of any portion or all of the amount paid by credit card there will be a 3% processing fee charged.

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