Join us for the 2016 Human Capital Investment Conference, Creating a BOLD Culture, November 15-16, 2016, at The Ritz- Carlton Chicago. This highly regarded event brings together senior executives from leading US healthcare systems, health sector firms, health policy leaders, and researchers. The event begins on Tuesday afternoon to explore ways to create organizational culture that is innovative, collaborative, and resilient. Leading in the current complex environment and ever- changing world requires this culture to be BOLD.
The 2016 Gail L. Warden Leadership Excellence Award Dinner will be held that evening to honor a healthcare leader whose commitment, values, and contributions embody the vision of NCHL to improve the health of the public through leadership and organizational excellence.
The event continues on Wednesday morning when, in partnership with Cielo Healthcare, we will recognize the 2016 Best Organizations for Leadership Development (BOLD) top-ranking organizations. We will showcase the leadership best practices of many leading healthcare organizations that use evidence-informed approaches to leadership development, such as attracting and selecting leaders, talent management, coaching, diversity leadership, and succession planning.
INDIVIDUAL REGISTRATIONS
Human Capital Investment Conference and Gail L. Warden Leadership Excellence ____ Number $900 Award Reception & Dinner
____ Number $500 Gail L. Warden Leadership Excellence Award Reception & Dinner
____ Number $450 Human Capital Investment Conference
Special Rates: A limited number of registrations for $275 per event are available for government employees and full-time faculty of National Council on Administrative Fellowship members, and $100 per event for current NCAF-member administrative fellows. A $275 rate for the HCIC Conference only is also available for up to three team members from presenting organizations. These rates are available on a first-come, first-served basis.
REGISTRANT(S): Please complete a similar registration form for each individual attending an event.
Formal Name ______
Name on Badge ______Title ______
Company ______Address ______
City/State/Zip ______
Email ______Telephone ______
Assistant’s Contact Information: ______
National Center for Healthcare Leadership 1700 W. Van Buren Street, Suite 126B, Chicago, IL 60612 Phone: 312.563-6630 Fax: 312.563-6631 If attending the Leadership Award dinner, please indicate if you have a dietary restriction:
___ Vegetarian ___ Gluten Free ___ Vegan ____Other: ______
As an individual attending the Award dinner, I prefer to be seated with: ______
LEADERSHIP AWARD SPONSOR PACKAGES
Event $50,000 Premier billing on all event materials. Full page, four-color tribute (inside front or back cover), 10 conference & luncheon registrations, table of 10 at Leadership Award Dinner, and logo on conference videos
Benefactor $30,000 Full page, four-color tribute (inside front or back cover), 10 conference registrations, and table of 10 at Leadership Award Dinner
Patron $25,000 Full page, four-color tribute, 10 conference registrations, and table of 10 at Leadership Award Dinner
Supporter $20,000 1/2 page, four-color tribute, 10 conference registrations, and table of 10 at Leadership Award Dinner
$15,000 1/2 page, four-color tribute, 5 conference registrations, and 5 registrations for Leadership Award Dinner
$7,500 1/4 page, four-color tribute
$5,000 Table of 10 at Leadership Award Dinner (includes 5 conference registrations)
National Center for Healthcare Leadership 1700 W. Van Buren Street, Suite 126B, Chicago, IL 60612 Phone: 312.563-6630 Fax: 312.563-6631 HUMAN CAPITAL INVESTMENT CONFERENCE SPONSOR PACKAGES
National Center for Healthcare Leadership 1700 W. Van Buren Street, Suite 126B, Chicago, IL 60612 Phone: 312.563-6630 Fax: 312.563-6631 BOLD Sponsor SOLD $35,000 OUT Premier billing on all event materials, 10 conferenc e registrati ons (including “Best Orgranzia tions for Leadershi p Develop ment” event).
Conference $10,000 Prominent logo listing in conference proceedings, 2 conference registrations, on- Proceedings site signage recognition, full-page color flyer in conference materials
BOLD Breakfast SOLD $5,000 OUT Sponsor Logo on all marketin g materials and on- site recognitio n, 5 conferenc e registrati ons SOLD OUT Break Sponsor $4,000 Logo on all marketin g materials and on- site recognitio n, 2 conferenc e registrati ons, exclusive signage at one break National Center for Healthcare Leadership 1700 W. Van Buren Street, Suite 126B, Chicago, IL 60612 Phone: 312.563-6630 Fax: 312.563-6631 BOLD Breakout SOLD $2,500 OUT Session Sponsor Logo on all marketin g materials and on- site recognitio n, 1 conferenc e registrati ons, exclusive signage at session BOLD Sponsor $35,000 Premier billing on all event materials, 10 conferenc e registrati ons (including “Best Orgranzia tions for Leadershi p Develop ment” event).
Conference $10,000 Prominent logo listing in conference proceedings, 2 conference registrations, on- Proceedings site signage recognition, full-page color flyer in conference materials
BOLD Breakfast $5,000 Sponsor Logo on all marketin g materials and on- site recognitio n, 5 conferenc e registrati ons
Break Sponsor $4,000 Logo on all marketin g materials and on- site recognitio n, 2 conferenc e registrati ons, exclusive signage at one break
BOLD Breakout $2,500 Session Sponsor Logo on all marketin g SPONSOR CONTACT PERSON ______materials and on- Company ______site recognitio Email ______Telephone ______n, 1 conferenc TRIBUTE DEADLINE: Camera-ready tribute due Friday, October 28th e REGISTRATION DEADLINE: Registration and guest list due Friday, November 4th registrati ons, exclusive PAYMENT INFORMATIONsignage at session I cannot attend, but enclosed is my $ ______tax-deductible donation to NCHL in support of its mission to improve population health by strengthening healthcare leadership.
The Total Amount due is $ ______(Please make checks payable to NCHL or provide credit card information below)
Payment method: Check (enclosed) Invoice PO #______
Credit Card: Visa MasterCard American Express Discover
Card # ______Security Code:______Expiration Date:______
Name on Card: ______
Street Address: ______
City/State/Zip: ______
Signature: ______
National Center for Healthcare Leadership 1700 W. Van Buren Street, Suite 126B, Chicago, IL 60612 Phone: 312.563-6630 Fax: 312.563-6631 Registration Policy: There is a $150 processing fee for cancellations made within two weeks of the event. Registrations may be transferred to another person at no additional charge.
HOTEL RESERVATION
The Ritz-Carlton, Chicago Phone: 1-888-236-2427 160 East Pearson Street at Water Tower Place Online: http://bit.ly/2016lodging Chicago, IL Room rate: $335 Group Code: nh2nh2a Deadline: October 24, 2016
For more information on sponsorship opportunities and registration, please contact Nilu Faiz-Ali at [email protected]
National Center for Healthcare Leadership 1700 W. Van Buren Street, Suite 126B, Chicago, IL 60612 Phone: 312.563-6630 Fax: 312.563-6631