To register for a College Success Network conference, training or event, please complete the form below.

* Asterisked fields are required.

YOUR INFORMATION

Title: Mrs. Ms. Mr. Dr.
*First Name:
*Last Name:
*Job Title:
*Organization Name:
*Address:
[address cont.]:
*City:
*State:
*Zip:
*Email Address:
*Phone:
Website Address:

EVENT INFORMATION

*Sessions or Trainings I plan to attend:

2008 Counselors' Academy,
April 2-4, 2008
University of New Mexico, Albuquerque

REPRESENTATION

Which category best represents the group will you primarily be representing?

Middle School Student High School Student Other Student Pre-K through 12 Education/School Counselor or Transition Specialist Higher Education Institution Non-Profit Organization College Access Program Staff Government (City, State, Tribal) Parent/Community Member Business/Corporate Other

BOOTH SPONSORHIP/ VENDOR REGISTRATION

If you are an organization or vendor interested in having booth space at the 2008 Counselors' Academy, please briefly describe your organization. Cost for booth/vendor space is $125.00: