Management Leadership Institute

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.

Cancellation/Substitution Policy

All cancellation/substitution requests must be made in writing.

Cancellation

• Before May 1, 2009
  If you need to cancel, you can receive a refund less $100 administration fee.
  
• After May 1,2009
  No refunds are possible.

Substitution

• Before May 1, 2009
  If you need to substitute, there is NO CHARGE
• May 1 – June 15, 2009
  If you wish to substitute, there will be a $125 assessment fee charged.
• After June 15
  Due to the amount of time required for preparation, NO SUBSTITUTIONS are permitted.

*Note: Your registration is not complete until payment is made.  Payment options are presented on the next page.