New from ACE!

Conflict Management Workshop

This workshop is SOLD OUT; registrations are being accepted on a wait list status only.

Registration Form

Please print this page and mail or fax to the address below.


Badge and Address Information: (Please furnish for each participant)
Name: _______________________________________________________________
Title: _______________________________________________________________
Phone: _____________ Fax: ______________ E-mail: __________________
Department: _______________________________________________________________
Institution: _______________________________________________________________
Address: _______________________________________________________________
City: _____________ State: ________ Zip: _______________
           
Gender: ImageMale ImageFemale      
Previous ACE/Other Workshop Experience: _______________________________________________________________
  _______________________________________________________________

Length of time serving as chair: ______ Length of time at institution: ______
Number of faculty in department: Full-time: ______ Part-time: ______
Department enrollment: Undergraduate: ______ Graduate: ______
Name of dean/provost: _____________________________________________
   
Institution Type: ImagePublic ImagePrivate        

please check

 ImageCommunity College ImageResearch Institution ImageHBCU

all that apply

 ImageProprietary ImageFederal ImageMinority-serving
  ImageUndergraduate only ImageUndergrad/Graduate  

Registration Fees:
  ACE Member Institutions*  Non-member Institutions
$950 first registrant
$900 each additional registrant		 $1050 first registrant
$1000 each additional registrant
How many registrants are there from your institution? ______
Fees include materials, refreshment breaks, two dinners, two continental breakfasts, and two luncheons.
*Please verify your institution's membership in ACE by calling your president's office or checking ACE's Online Membership Directory.

Payment Type:
Image Check Enclosed$____________ Image Purchase Order Number#____________________________
Image Credit Card Image MasterCard Image Visa Image American Express  
Card Number #_____________________________________________
Name on Card _____________________________________________
Expiration Date: ___________________

Payment or a purchase order should accompany your registration. If institutional policy does not permit prepayment, written evidence of a payment plan must be provided. All registrations, even if not accompanied by payment, are liable for late cancellation fees and will be billed as per the cancellation and refund policy.

Cancellation notices received at ACE five or more working days before the opening of the program will receive a full refund less a $75 administrative fee. Cancellations received between five days and 4:00 p.m. EST the day before the workshop begins will be refunded one-half of the registration fee. After this time, there will be no refunds.

Registration form(s) may be faxed to (202) 785-8056 or mailed with checks to: American Council on Education, Department Leadership Program, One Dupont Circle NW, Washington, DC 20036-1193.