Name:
Work Address:	This is where we'll send you snail-mail information.
Office Phone:
Home Address:
Home Phone:
Email Address:
Fax:
URL:	Your personal URL or your schools/company's URL.
Social Security Number:	We need this for issuing stipend checks and reimbursement for mileage. If you would prefer to give us the number over the phone, call me at 333-6604
Which conferences can you attend? March 31 - April 2 (Champaign-Urbana at Levis Faculty Center. Accommodations at Illini Union) April 28 - April 30 (suburban Chicago, at TCD. Accommodations at Ramada Inn on North Ave.) May 19 - May 21 (suburban Chicago, at TCD. Accommodations at Ramada Inn on North Ave.) June 16 - June 18 (Champaign-Urbana at Levis Faculty Center) - accommodations at University Inn	Your attendance is expected at all the conferences. So we expect you to check all the boxes at the left :) However, since we have assembled the team on such short notice, some conflicts are inevitable. We are already aware of a couple. If you cannot check all the boxes at left, we'll be in touch with you to discuss the conferences you must miss.
Do you intend to bring children or significant others to conference weekends?	I intend to bring my daughter and wife along for the Chicago meetings. I would like the conferences to be family-friendly. At the same time we will be working very hard, especially on the Saturdays. And, of course, M2T2, ISBE, and the University of Illinois cannot assume any responsibility for costs or care of non-team members. That being said, if we know who will be bringing kids and significant others, perhaps we can arrange childcare informally and even to have family along for the Friday night dinner/presentation part of the conferences. I will send an email to everyone on the Monday before the first meeting with details on what we have been able to arrange. That's Monday, March 27, 2000
Do you have any special dietary considerations that we should know about when planning meals (e.g., vegetarian, lactose-intolerant, etc.)
Do you currently have Internet access at home? Yes No
Who is your Internet Service Provider?	For example, the University of Illinois, America Online, Juno are all service provides who give people access to the Internet.
How often do you check your email?	Every day? Twice a day? Once a week? What's email?
What email program do you use?	e.g., Eudora, Microsoft Outlook, etc.
When are the best times and location to reach you?	We may have need to call you about particular aspects of the project and we would like this to be as convenient for you as possible. Please give us some times when you think you will be available to receive a phone call from me or Mary Christie, who is handling the logistics of the conferences. If you check your email several times a day, then we can contact you that way.
Do you search the Web for educational materials?
How would you describe your work or occupation?
Describe your familiarity with the NCTM Curriculum and Evaluation Standards.
Describe your familiarity with the Illinois Learning Standards.
Is there a fast connection to the Internet in your classroom or place of work ? Yes No	By "fast" we mean faster than a phoneline/modem connection.
Is there a phone line in your classroom or place of work? Yes No
Who is in charge of the network at your school or place of work?	It may help us to know who to contact in case you want to pilot materials that use the Internet or if you have problems accessing Web pages.
Will you send us a resume? Yes No	This will help us in describing the team to interested parties. If you answer yes, you may bring a copy to the first meeting, email us with it at m2t2@lists.mste.uiuc.edu, or just tell us were we can find it if it is on the Web.
If you have comments questions or further explanations regarding this form, please enter them in the textbox below.