Register for the Assessing Learning in Off-Campus Study workshop.

This workshop is for invited participants only. Please do not register if you have not already RSVPed.

Registration deadline is June 8, 2012.

Complete the following form and click on SUBMIT to confirm your registration. You must complete this form in one sitting, and you will not be able to alter your registration information via this form once you have submitted it. Please be sure you have completed all fields before submitting.

Participant InformationFirst Name:

Last Name:

College:

Title (as you would like it to appear on name badge):

Email Address:

Panel Presentation on Assessment Practices Are you interested in participating on a panel to discuss how your campus currently assesses off-campus study programs?

(If so, we will be in touch with you about the details at a later date.)

Travel InformationACM will provide one night of lodging on Monday, June 25, 2012. Overnight accommodations will be made by ACM at the Best Western River North Hotel (125 W. Ohio St., Chicago, 60654).

All reservations must be made through ACM. Please DO NOT contact the hotel to reserve a room.

Additional nights of lodging, if needed, will be at participants' own expense, and availability cannot be guaranteed. If you need a room for an extra night, please list the date below:

Travel Method:

I will be traveling by car.
I will be traveling by air.
I will be traveling by train.

I will attend the following meals:
Lunch (Monday)
Dinner (Monday)
Lunch (Tuesday)

Special dietary or access needs:

Additional comments:

Emergency Contact InformationInformation listed here is confidential and will only be used in case of an emergency.
Name:

Relationship:

Cell phone:

Home phone:

Work phone:

Name Email