Greater Expectations Institute 2008

Individual Registration Form

Congratulations, your team has been accepted for participation in the AAC&U 2008 Greater Expectations Summer Institute. Please complete the following registration form and submit by April 25, 2008 to confirm your spot.

Institute Participant Guide (PDF)

(** indicates required fields)

INDIVIDUAL REGISTRANT INFORMATION:

Please indicate your role on the team :

	Team Leader
	Team Member

Prefix (Dr., Ms., Mr., etc.):

First Name:**

Middle Name or Initial:

Last Name:**

Full Title:** (No abbreviations please, e.g., "Director of Learning Communities Program" or "Professor of Philosophy"):

Institution:

Campus Address (including building or box number):**

Street Address:

City:**

State:**

Zip code:**

Phone:**

Fax:

E-mail:**

TEAM LEADERS ONLY: ALTERNATE CONTACT INFORMATION
( for summer months if different from above):

Street Address:
City:
State:
Zip code:
Phone:
Fax:
E-mail:

ASSISTANT'S CONTACT INFORMATION
(if applicable):

Assistant's Name:
Phone:
E-mail:

DEMOGRAPHIC INFORMATION:

Primary Position:
Race/Ethnicity:
Gender:

ADDITIONAL LODGING REQUEST

The Institute fee provides individual guestrooms for four nights (June 18-21, 2008).
A limited number of guest rooms will be available before and after the Institute. If you would like to reserve a room for additional nights, please indicate your preferred arrival and departure dates below. The rate is $112 single/$131 double and must be paid upon arrival.
Reservations are not confirmed until you receive notification from AAC&U.
Cancellations and changes may be made by contacting Siah Annand (annand@aacu.org) through May 15. After May 15, you will be responsible for the room charge for any additional nights you may have requested.

Preferred Arrival and Departure Dates:

SPECIAL CONSIDERATIONS

If you require special services, facilities, or dietary considerations (allergy, vegetarian, or otherwise), please indicate them here:

INTRODUCTION

Please provide a brief (2-4 sentence) introduction that explains your role on campus and how it relates to the project your team is working on at the institute.**