Illinois STARnet Northwest Region I & Central Region III STARNET Northwest Region I and Central Region III  
Center for Best Practices in Early Childhood Education  
Western Illinois University, Horrabin Hall 32  
1 University Circle, Macomb, IL 61455  
(800) 227-7537 / (309) 298-1634  
Fax: (309) 298-2305  
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You can either use this online form or download and print the form (PDF format) and send it to STARNET. If you don't have Adobe Acrobat Reader to view the form, you can download it free from Adobe's website

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