ATTENDEE INFORMATION
First Name:
Zip Code:
Last Name:
Telephone (include
area or country code):
Job Title or
Student Classification:
Fax:
College/University Name:
Email:
Mailing Address 1:
Name Tag - Full Name
(First & Last):
Mailing Address 2:
Name Tag - Affiliation:
City:
Dietary Restrictions:
State:
Special Needs
(Physical, Medical, etc.):
Country:
MAIN CONFERENCE FEES
Main Conference Fees
Registration is not confirmed until payment has been fully collected. Refunds are available, minus a $50 processing fee, if cancellation occurs before August 10th. There will be no refunds after August 10th, but registration payments can be transferred to another party.
Regular
paid by Sept. 10 *CLOSED*
Late
paid
after
Sept. 10
Full Conference
$450
$475
Graduate Students (with documented student status)
$350
$350
Two-Day ONLY (Mon./Tues.)
$200
$200
OPENING POSTER SESSION & RECEPTION ON SATURDAY EVENING
Full conference registration includes tickets for food/beverage and entry to the Florida Aquarium exhibits on Saturday night.
Yes, I plan to attend the opening poster session and reception at the Florida Aquarium starting at 7pm on Saturday, Oct 6th.
No, I regret that I will not be able to attend the opening events on Saturday evening.
PRE-CONFERENCE FEES
Pre-Conference Selection
If you plan to attend a pre-conference workshop, please make your selection below. You may choose one all-day session, or one half day session.
Session 1
All Day
(9:00 AM - 4:00 PM)
Integrating reflection and assessment to enhance student learning and advance service-learning scholarship
Session 2
All Day
(9:00 AM - 4:00 PM)
Developing and Sustaining Community-Based Participatory Research Partnerships
Session 3
Half Day
(9:00 AM - 12:00 PM)
K-12 Civic Education and Service-Learning - An Introduction to the Current Literature, Resources and Tools
Session 4
Half Day
(1:00 PM - 4:00 PM)
Recognition for Community-Engaged Scholarship: Practical Suggestions for Presenting Your Work
Session 5
Half Day
(1:00 PM - 4:00 PM)
Building High Quality Engaged Scholarship
Session 6
Half Day
(1:00 PM - 4:00 PM)
Creating Waves: Expanding Community Engagement at the Graduate Level
Session 7
Half Day
(1:00 PM - 4:00 PM)
Strengthening the Quality of K-12 Service-Learning Research through Mentorship and Peer Review
Pre-Conference Fees
Paid by September 10. Registrations after Sept 10 will be based on space available.
No Pre-Conference
$0.00
Half Day Morning
$50.00
Half Day Afternoon
$50.00
All Day Session
$100.00
Graduate Students
Name & Institution of Your Degree Program:
Certify whether you are a full-time student in a degree-granting program:
Yes
No
*You will need to provide some form of proof that you are a full-time student in a degree-granting program. Please include this with your payment form, and be prepared to show it again at the registration desk.
Purchase Additional Books
Additional copies of the book entitled
Advances in Service-Learning Research, Vol. 7
may be reserved for pick-up at the conference for a pre-purchase price $35 each.
(NOTE: one copy is already included with each FULL and/or Graduate Student registration)
Number of Additional Books:
Guest Meals
Additional meal tickets may be purchased for adult guests of conference attendees:
Opening Reception at Florida Aquarium $60
Sunday Lunch $50
Sunday Dinner $75
Monday Lunch $50
FEE ACCEPTANCE
Enter Main Conference Fee
Enter Pre-Conference Fee
Enter Total Cost of Additional Books
Enter Total Cost of Guest Meals
Calculate Total Fees
*Click for
Pop-up Calculator
(Include main conference fee, pre-conference fee, extra book copies and any guest meals)
PARTICIPANT PHOTOGRAPHY RELEASE
Submission of your conference registration authorizes IARSLCE and Florida Campus Compact to publish in any format and use for any purposes your name, affiliation, and any photographs, video footage, and audio recording taken of you at the 2007 IRCSLCE Conference.
REGISTRATION SUBMISSION
Important!
Before clicking 'Submit' please double check
the accuracy of your information, and PRINT a copy of this form for your records.
