University/Company Information

NASPAA’s 2017 Annual Conference will be held in Washington, DC, from October 11 - 13 with local excursions on October 14. Please make your hotel reservations on your own; details are available at http://www.naspaa.org/AnnualConference/hotel.asp.

Registration by mail with payment must be received at NASPAA D.C. office no later than 09/27/17. After 9/27/17, registrations will only be accepted online or on-site with late fee.

University: School: Department: Address:

City: State/Province: ZIP Code: Country: Attendee Information

First Name: Last Name: Job Title: First name (given name) for your name badge: Email Address: Phone: A. Is this the first NASPAA conference you are attending?

___ Yes ____ No

B. Would you like to include your contact information in NASPAA conference mobile app?

___ Yes ____ No

C. Please let us know if you have any specific dietary needs or accessibility needs:

D. OPTIONAL --- This year in an effort to better facilitate networking, we are asking what specific topics you want to discuss and/or what topics you would be willing to talk to others about. We will then try to put you in touch with people based on your answers.

What specific topics do you feel comfortable talking about or sharing what your institution has done?

Pre and Post Conference Activities

A. WEDNESDAY, 10/11, ACTIVITIES: The Accreditation Institute now occurs in a single day and ends with an evening reception.

__ Accreditation Institute (8am – 4pm with lunch) _

__ Doctoral Education Workshop (10am – 4pm with lunch) _

__ New Directors Roundtable (10am – 11:30am) _

__ Creating Dynamic Video Lectures Using Simple Free Tools (1 – 3pm) _

__ NASPAA NEXT: A Leadership Development Institute (1 –5 pm) (Invitation Only) _ __ NOT attending any pre- conference activities on Wednesday _

B. SATURDAY ACTIVITIES 10/14:

Would you like to hear more about Post-conference activities in Washington DC organized by local schools on Saturday?

___ Yes, please email me more details on Saturday Activities. ____ No There are a limited number of tickets to visit the new Smithsonian National Museum of African American History and Culture that will be given out in a lottery in August.

___ Yes, please enter me in the lotto for NMAAHC tickets on Saturday. _____ No

Registration Member refers to those who are affiliated with a NASPAA member school (including Associate members). Early-Bird Regular Registration Fees until 9/6 9/7-9/27 ___ Member (full access) $390.00 $415.00

___ Non-member (full access) $410.00 $435.00

___ COPRA (full access) $120.00 $145.00

___ Student (full access) $120.00 $145.00

___ One-day Wednesday (OR Accreditation Institute) $210.00 $235.00

___One-day Thursday $210.00 $235.00

___One-day Friday $210.00 $235.00 ___Member Guest/Spouse/Partner $210.00 $235.00 (cannot be a NASPAA member, full access) PROMO CODE:

LUNCHEONS: If you are attending the conference on both Thursday and Friday, please make sure to purchase lunch for both days.

THURSDAY 10/12 lunch ($40.00) ____Regular meal ____Vegetarian meal

FRIDAY 10/13 lunch ($40.00) ____Regular meal ____Vegetarian meal

EVENING RECEPTIONS: Join us for evening receptions to network with NASPAA staff and your colleagues. Reception included with registration fee.

___ Yes, I will attend Wednesday Evening Welcome Reception ___ Yes, I will attend Thursday Evening Reception, sponsored by Carnegie Mellon University

___ Yes, I will attend Friday Evening Platinum Sponsor Reception

PAYMENT: TOTAL AMOUNT: $______

Paying by check, please make payable to NASPAA. For credit card payment, please fill out the information below. We only accept Visa or MasterCard.

Card Number:

Exp. date:

Name on card:

Signature:

Update: 7/7/2017