2023 CIT Conference

Department & Preparer Information

• * Department:
• * Address 1:
• Address 2:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• Name of person completing registration:
• Email of person completing registration:
• Phone:

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Phone:
• Title/Rank:

• Confirmed Conference Speakers/CIT Actors use the supplied Promo Code to register.

• Promo Code

  Enter Code: Apply

• Fee

  Type	Fee
  In-State (Both Days)	$125.00
  In-State (One Day)	$100.00
  Full Time Student (Not working in the CJ field)	$75.00

ID Number

• • Local Law Enforcement use PTBID Number (Registration is incomplete if this number is not provided. Look up your PTBID number on the ILETSB website at http://www.ptb.illinois.gov/resources/ptb-id-lookup/)

• • Illinois State Police use Badge Number

• • All Others use Last 4 SSN

• * ID Number:
• If you are a licensed social worker or licensed clinical social worker interested in receiving CEUs if they are available, please provide your license number.

• Click "Add" in the next section to register additional participants.

Additional Participant Information

You may add a maximum of 15