2015 Annual Conference Do Not Use This Form October 4-7, Las … · 2016-10-03 · appear on the conference web page in May and be listed in the Conference Registration Brochure,

2015 Annual ConferenceOctober 4-7, Las Vegas, Nevada

Check the conference registration fee that applies

NACADA FEIN number: 48-1114759

Cardholder’s Signature

Method of Payment (choose one):

Check in U.S. dollars or International Money Order (payable to NACADA): # Returned check fee is $35

Agency Purchase Order (PO): # A PO MUST be attached.

Credit Card (choose one): Visa Master Card American Express Discover

Card number:

Expiration Date: Name on card (print):

For Office Use Only Initials

Date

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Notes:

Conference Registration Fees

Last Name: First Name: MI:

Nickname: Job Title:

Institution:

E-Mail:

Address:

City: State:

Country: Business Phone:

Emergency Phone: Fax:

Zip Code:

On or Before September 2

Current Member (Does not include membership fee.)

Non-Member

$385

$555

Total Due:

Signature Required:

Registration Registration may be made via: Fax: 785-532-7732 Online: www.nacada.ksu.edu Mail: NACADA 2015 Annual Conference 2323 Anderson Avenue, Suite 225 Manhattan, KS 66502-2912 All individuals, including presenters, must register and pay the conference fee. Cancellation and Refund Policy All requests must be in writing and mailed or emailed ([email protected]) to NACADA. Membership dues are not refundable. A refund of conference registration fees, less a $50 handling charge, will be made if official written notification of cancellation is received by August 15, 2015. After August 15, 50% will be refunded with written notification. No refunds granted after September 10th. Paid registrations are transferable to another individual at your institution if you notify NACADA in advance. Refunds will be processed after the conference. Non-member registrants acknowledge that no reimbursement for lost discount(s) will be made, even if membership status changes. Services/Accommodations for attendees with disabilities: Contact [email protected] by August 1, 2015 if you need services or accommodations to participate in the conference. Questions & Information Web Site: www.nacada.ksu.edu Email: [email protected] Phone: (785) 532-5717

MEMBERSHIP NOTICE: Take advantage of the Member rate by becoming a NACADA member at this time. Fill out the following membership form or go online. The membership fee and registration fee will show up as separate charges on your credit card. You MUST be a member when this form is received and processed or the non-member fee will be assessed.

Payment or purchase order must accompany registration form. Please supply payment details below.

Student (not full-time employee)

Do Not Use This Form after July 1, 2015

*After July 1st use form at www.nacada.ksu.edu

One-day Fee NACADA Member

One-day Fee NACADA Non-Member

$265

$270

$360

Preconference Workshops: Additional fees required. Detailed descriptions of each workshop will appear on the conference web page in May and be listed in the Conference Registration Brochure, mailed and posted at the NACADA web site in July 2015. You may add workshops at that time.

CVV # (on back)

Call 785-532-5717 or email [email protected] for instructions. NACADA assesses a $15 handling fee for each international wire. All wire transfer fees are the responsibility of the participant.

International Wire Transfer:

PAYMENT INFORMATION

MEMBERSHIP INFORMATION NAT'L 2015 Complete the information below You may prefer to join online at: nacada.ksu.edu

Last Name First Name M.I.

Institution

ROLE DEMOGRAPHIC INFORMATION Ethnic Background Gender

Birth Year:

You may choose any four (4) of these specific advising areas:

CIG101 Advising Administration (C) CIG102

Advising Adult Learners (C)

CIG103

Advising Business Majors (C)

Advising Fine Arts Students (IG)

CIG104

Advising Education Majors (C)

Advising First-Year Students (IG)

CIG201

Advising Graduate & Professional Students (C)

CIG202

Advising High Achieving Students (C)Advising Second-Year Students (IG)

CIG203

Advising Student Athletes (C)

CIG204 CIG205

CIG301

Advisor Training & Development (C)

Ethics & Legal Issues in Advising (IG)

CIG302

Assessment of Advising (C)

CIG303Health Professions Advising (IG)

CIG304

STEM Advising (C)

CIG401 CIG402 CIG403 CIG404

Liberal Arts Advisors (C)

CIG405

YEARS ADVISING

Method of Payment (choose one):

Check (payable to NACADA): # Returned check fee is $35

Credit Card (choose one): Visa Master Card American Express Discover

Card number:

Expiration Date: Name on card (print):

Credit Card Details Below:

Email:

Administration of Advising

Advising in Academic Programs I

Doctoral Students (IG)Advising in Academic Programs II

Pre-Law Advising (IG)Advising Specific Populations I

Advising at Historically Black Colleges & Universities (IG) Canada (IG)

Undecided & Exploratory Students (CUES) (C)

High School to College Advising (IG)

Large Universities (IG) Native American & Tribal College (IG)

LGBTQA Advising and Advocacy (C)Multicultural Concerns (C)

Small Colleges & Universities (C)

Two-Year Colleges (C)

CIG601

CIG602 CIG603 CIG604 CIG605

CIG701 CIG702

CIG703 CIG704

CIG705 CIG706

Advising Specific Populations III

Probation/Dismissal/Reinstatement Issues (IG)

Institutional Type

CIG501 CIG502 CIG503 CIG504 CIG505

Advising Veterans, Military Students & Family Members (IG)

Advising Students with Disabilities (C) Advising Transfer Students (C)

First-Generation College Student Advising (IG) Global Engagement Commission (C)

Advising Specific Populations II

< 3 years 3-5 years 6-10 years 11-15 years

Faculty Advisor

Academic AdvisorAcademic CounselorAdvising AdministratorLicensed CounselorNon-Institutional

Amerindian/First NationsAsianBlack (non-Hispanic)Latino/HispanicMulti-ethnic

Other

Female

Male

Transgendered

Periodically NACADA distributes mailing lists to other educational entities. To be excluded, check box.

> 15 years

StudentOther

White (non-Hispanic)

$65 General Member (Employed by an accredited institution)

$85 Associate Member (Not employed by an accredited institution)

N/A

if you are joining or renewing at this time andenclose payment.

$20 Student Member $150 Institutional Member

Join or Renew Your Membership

SUBMIT WITH YOUR REGISTRATION FORM FOR 2015 ANNUAL CONFERENCE

Advising & Academic Coaching (IG) CIG801

Theory, Practice and Delivery of Advising I

Theory & Philosophy of Advising (C) CIG808Peer Advising & Mentoring (C) CIG806Faculty Advising (C) CIG804Appreciative Advising (IG) CIG802

Technology in Advising (C) CIG904New Advising Professionals (IG) CIG903Distance Education Advising (C) CIG902Career Advising (Potential IG) CIG901

Theory, Practice and Delivery of Advising II

$30 Retiree Member (Retired but active in the field of advising)

CVV#:

Large Universities (IG) CIG703

The New Advisor Guidebook:Mastering the Art of Academic Advising

Pre-order Form

COMPLETE AND FAX THIS FORM TO 785/532-7732 OR MAIL TO NACADA, 2323 ANDERSON AVENUE, SUITE 225, MANHATTAN, KS 66502.

Name ___________________________________________________________________________

Institution ___________________________________________________________________________

Address ___________________________________________________________________________

___________________________________________________________________________

City __________________ State__________________ Zip Code _________ Country________________

I will pick up my copy at the 2015 Annual Conference in Las Vegas, NV

Please ship my copy to me (additional charge of $9 per book)

Quantity _________________ [$50/copy – add $9/copy if you want us to ship your book(s)]

Payment: Check Enclosed Purchase order faxed to 785/532-7732 Credit Card (Visa, MasterCard, American Express, Discover)

Cardholder’s Name ___________________________________________________ (please print)

Cardholder’s Signature ___________________________________________________

Credit Card # ________________________________________ Expiration Date ________________

For Office Use OnlyInitialsDateCk#/AmtBatch #

Of the major factors that increase student completion, academic advising is the only one under an institution’s control. Thus, it is essential that advisors provide smart, realistic advice to the students.

The New Advisor Guidebook serves as an introduction to what advisors must know in order to do their jobs effectively. The book clearly identifies the knowledge and skills advisors must master and presents frameworks for creating self-development plans. Chapters focus on foundational content: the basic terms, concepts, information, and skills advisors must learn and build upon over the length of their careers. Included are strategies, questions, guidelines, examples, and case studies that provide advisors with the tools needed to apply the book’s content to their work with students.

Pre-order or purchase your copy of The New Advisor Guidebook at the 2015 NACADA Annual Conference in Las Vegas to have the authors autograph your book. The author signing is Tuesday, October 6, from 7:30 – 8:30 a.m. near the breakfast area.

NACADA Member Cost: $50/copy Shipping: $9/copy