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Civic Engagement

AAC&U Network for Academic Renewal Conference

Learning and Technology

April 20-22, 2006
Seattle, Washington


REGISTRATION INFORMATION

Asterisk (*) indicates required fields

PERSONAL INFORMATION:

Prefix (Dr., Mr., Ms., 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/ORGANIZATION INFORMATION:

If you belong an AAC&U member insitution or organization, please choose it from this list:

If your institution or organization is not an AAC&U Member, please enter it here:

CONTACT INFORMATION:

Campus Address (including building, street, or box #)*:

Street Address:

City*:

State*:

Zip*:

Phone*:

Fax:

E-mail* :

DEMOGRAPHIC INFORMATION:

Primary Position:

Race/Ethnicity:

Gender:


CONFERENCE REGISTRATION FEE

If your institution/organization was included in the membership list above, please select the member registration fee. If not, please select the non-member fee. Also, please see section below to determine if you are eligible for the Campus Team discount of $75 per registration.

 

Through March 29, 2006

After March 29, 2006

MEMBER FEE

$375

$425

NON-MEMBER FEE

$475

$525

STUDENT FEE

$75

$75



AAC&U TEAM DISCOUNT

A team discount is available when three or more people from the same institution register. The discount is $75 per person. Please note that student registrants are not eligible for a team discount and each team member must submit a separate registration form.

I am part of a team.

 

Two non-student members of my team are (please enter both names below separated by a comma):

I am not part of a team or I am a student registrant


PRE-CONFERENCE WORKSHOPS

Held Thursday, April 19, 2:00-5:00 pm. Workshop registration is limited and will be confirmed within two weeks of receiving your registration request.

$75 Members

$100 Non-Members

I will not attend a Workshop


Please select a workshop topic:

Workshop 1: Blended Learning: The Best of Both Worlds

Workshop 2: Faculty Engagement with Technology: Support and Development

Workshop 3: Innovative Designs for Learning with Technology

Workshop 4: A Nation Goes to Cyberspace

No Workshop


CAMPUS VISIT: UNIVERSITY OF WASHINGTON, FRIDAY, APRIL 21, 2006

Transportation will depart the Renaissance Seattle Hotel Lobby at 4:00 p.m. and return at 6:30 p.m. There are no other conference sessions during this time. There is no charge for the visit, but you must register to reserve space on the shuttle.

Do you plan to attend the Friday, April 21, University of Washington Campus Visit?

Yes, I will be attending the Campus Visit

No, I will not be attending the Campus Visit


SPECIAL PUBLICATIONS OFFER

Please send me the following publication(s). I understand that the price includes shipping and handling and that I can expect delivery within 3 weeks of receipt of my registration.

The Art and Science of Assessing General Education Outcomes ($20)

Taking Responsibility for the Quality of the Baccalaureate Degree ($20)

General Education and the Assessment Reform Agenda ($15)

Liberal Education Outcomes Preliminary Report ($15)

All four publications ($70)

Please do not send either of these special-priced publications


STAY CONNECTED WHEN THE MEETING ENDS--BECOME AN AAC&U ASSOCIATE

Associates are individuals on member campuses who receive AAC&U publications, play an active role in AAC&U, and advocate for liberal education. Individuals who enroll will receive Peer Review, Libberal Education, Diversity Digest, and AAC&U News. Please visit www.aacu.org/membership/associates.cfm for details.

Yes, I am on a member campus and want to enroll as an AAC&U Associate ($60.00)

No, I would not like to enroll as an AAC&U Associate at this time


WE WOULD LIKE TO KNOW

Please let us know how you found out about this meeting:



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