July 6-11, 2008 The Chattanoogan Hotel 1201 South Broad Street Chattanooga, TN 37402-2708 www.chattanooganhotel.com

• General Information • Agenda • Registration Form

This online form is designed to make it easy to apply for the NACE Management Leadership Institute. This is not a form you can submit online. Use your computer to complete the form. When you click the "print" button, the form will be printed by the printer in your office. Sign the form, then mail or fax it to NACE.

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Registration is now closed. Please contact Maria Kaczmar to be added to the waiting list.

Registration Form

INFORMATION ABOUT YOU

1. I am a nonsmoker smoker

2. I have dietary restrictions:

Please indicate dietary restrictions here.

3. I have a disability that requires accommodation.

Please indicate needed accommodations here.

INSTITUTIONAL INFORMATION

1. Type of Institution

Four Year   University
Two Year    Graduate School only

2. Primary Support

Public         Private

3. Approximate, full-time enrollment of your institution, in the academic area(s) you are responsible for. Please use undergraduate enrollment unless you represent a graduate school only.

Less than 1,000
1,001 - 2,500
2,501 - 5,000
5,001 - 10,000
More than 10,000

4. Number of full-time professional staff in your office:

5. Number of years of full-time experience in the field:

6. Please list three major management challenges you are currently facing in your position:

1.
2.
3.

REGISTRATION FEE

The NACE Management Leadership Institute is an intense program which also helps you draw learning from fellow attendees. NACE therefore includes your hotel room in the cost of the Institute. A commuter option for those who wish to commute is available.

To qualify for the member rate, you must hold an Organizational Membership or an e-Membership. Get your own NACE Membership.

POSTAGE

$25 for individuals residing outside the United States and Canada to cover the costs of shipping materials/sending faxes. (CODE #520207FP)

Total Payment: $

PAYMENT METHOD (The following information must be faxed or mailed to NACE. It will not be submitted electronically.)

I prefer to use my credit card, and will contact NACE with my information.
(to be completed offline)
(circle one)    Visa    Mastercard    Amex
Card Number: _______________________________________________

Expiration Date: _____________________________________________

Name on credit card (print) ___________________________________________________

Signature of the cardholder: _____________________________________________________
By my signature I authorize the use of my credit card to pay the total charge listed above.

My check is enclosed. (Please make checks payable to the National Association of Colleges and Employers, Inc. FEIN #23-1270546). Registration will not be processed until check has been received.

Cancellation Policy

If you need to cancel before May 1, 2008, NACE will refund your registration fee less a $150 administration charge. No refunds can be granted after that date. Substitutions from within an organization are permitted until four weeks prior (June 10, 2008).

Return with payment to:

By Mail:

NACE, Attn: Megan Ogden
62 Highland Ave.,  Bethlehem, PA 18017-9085

By FAX:

Those charging their fee may register by Fax: 610/868-0208 Attn: Megan Ogden

Registration is now closed. Please contact Maria Kaczmar to be added to the waiting list.

(This form will not submit your registration to NACE.)

National Association of Colleges and Employers
62 Highland Ave.
Bethlehem, PA 18017-9085
800/544-5272 or 610/868-1421
Fax: 610/868-0208