Illinois Public Service Institute 2002

Training for Public Service Professionals
Managing for Service Excellence

College Credit and Continuing Education Credit Available

October 1 through October 6, 2006
Registration Fee $650
Includes classes and instruction materials and breaks.
Lunch will be provided on Monday, Tuesday and Thursday.Dinnerwill be provided on Sunday, Tuesday and Thursday.
Deadline for registrationSeptember 17, 2006

Keller Convention Center
1202 North Keller Drive,Effingham, Illinois

Lodging

Be sure to mention that you are with IPSI when you make your room reservation

Sponsors

American Public Works Association Chicago Metro Chapter

American Public Works AssociationIllinois Chapter

Illinois Municipal League

Illinois Section American Water Works Association

Southern IllinoisUniversity Edwardsville

For additional information, contact Mary Bender 231-797-5536

REGISTRATION FORM

October 1– October 8, 2006

Registration Deadline is September 17,2006

(please print or type)

Basic 1 _____ Basic 2 _____ Basic 3 _____

First Name Last Name
(To appear on your certificate.)

First Name Title (For name tag)

Organization _____ Address

City State Postal Code

Business Phone ( ) Fax ( )

Home Phone ( ) Email ( )

Please remember that e-mail addresses are case sensitive, please print e-mail address clearly!

Special needs?

Shirt Size: Sm Med Lg XLG XXL XXXL ______

IPSI Basic Institute Tuition $650.00

Please pay by registration deadline, September 17, 2006

(An administration fee of $50.00 will be charged for registrations received after 9/17/2006.
Sorry, no refunds will be made after September 17, 2006.

Registration fee covers classes, student materials, breaks and the following meals.Lunch on Monday, Tuesday, Thursday and FridayDinner will be provided on Sunday, Tuesday and Thursday Participants are responsible for breakfast each day, dinner on Monday and lunch and dinner Wednesday.Housing costs are separate, lodging has been reserved atthree hotels that are adjacent to the Convention Center; HiltonGardens, Country Inn and Suites and Holiday Inn Express.

Please make checks payable to:

APWA - IPSI

c/o Jeffrey Smith, IPSI Treasurer
6705 N. West Arrowhead Drive

Urbana, IL61802

(Sorry, no credit cards.)

Refer questions about registration to Mary Bender 231-797-5536, fax 231-797-8072

IPSI SCHOLARSHIPS AVAILABLE

The Chicago Metro Chapter and several of the Branches have scholarships available for members and member agency employees who would like to attend IPSI. The following are the contacts:

1. Chicago Metro Chapter- contact Steve Weinstock, Village of Schaumburg, (847)923-6600 or email-
2. Suburban Branch- contact Tony Speciale, Village of Sugar Grove, (630)466-7508 or email-
3. FoxValley Branch- contact Chad Butzow, City of Elgin, (847)931-5972, or email-
4. LakeBranch- contact Rick Forner, Wight Consulting, (847)381-1800, or email-

Please note on your IPSI application that you are applying for or have received a scholarship.