Summer Institute Registration
Below is the registration form for the 2010 Summer Institute. This form can also be downloaded as a PDF file.
2010 THE ACCIS INSTITUTE
Agnes Scott College
REGISTRATION FORM
June 20 - 23, 2010"A Meeting of Independent Minds"
Name: ______________________________________________________________
Job Title: ____________________________________________________________
School: _____________________________________________________________
School Address: ______________________________________________________
___________________________________________________________________
___________________________________________________________________
Office Phone: ________________________________________________________
Fax: _______________________________________________________________
Email: ______________________________________________________________
(please print neatly!)
Years of experience in College Counseling: Total: ___ School side: ___ College side: ___
Is your school already an ACCIS member? Yes ____ No ____
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The ACCIS annual membership fee is $120. Our fiscal year runs from July to June, so please renew for 09/10 if you have not yet done so. Note that membership is by school, so the ACCIS membership fee covers all counselors in your office.
Registration Costs:
ACCIS Members: Summer Institue Fee -- $500 ACCIS Membership Fees -- $120
Non-Members: $720 (We welcome new members, so sign up and save!)
Registration will be taken as checks arrive on a first-come, first-served basis.
Agnes Scott College has space for a total of 100 attendees, so we do have some limitations.
Please send no more than two (2) counselors from any one office.
Make Checks payable to "ACCIS"
Mail to: ACCIS, 16 Brookdale Lane, Pepperell, MA 01463
If not yet a member, please include a separate membership check
Questions? E-mail us at: Info@accisnet.org Travel & Housing Details will come in your confirmation pack
