44th Annual LACUSPA Conference Registration Form
Please use this form to complete your registration for the conference to be held September 30-October 1 at Southeastern Louisiana University in Hammond, LA. Payment instructions will be present on the confirmation page.
Please indicate: *
First Name: *
Your answer
Last Name: *
Your answer
Professional Title: *
Your answer
Institution/Association: *
Your answer
E-mail Address: *
Your answer
Office Phone: *
Include area code, Preferred format: 999-555-5555
Your answer
Mobile Phone:
Include area code, Preferred format: 999-555-5555
Your answer
How many years have you worked in student affairs (excluding graduate assistantships)? *
Institution's LACUSPA Membership Status *
What is your primary area of student affairs? *
If you oversee multiple areas, please select the area of professionals you would like to network with at the conference.
Please indicate any special accommodations you require.
Your answer
Will you be attending the Welcome Reception on the night of Sunday, September 30? *
The reception will include a full-spread, buffet-style catered meal and a networking opportunity with conference attendees.
Will you be interested in attending a presentation(s) in the Higher Education Law Track of the conference?
A higher education law track will be available to participants at the LACUSPA conference . Participants can complete the entire track during the conference or chose certain presentations to attend that fit their interest.
Within 1-2 business days, you will receive an invoice for your registration. Would you like your invoice to be grouped with other recent registrants from your institution? *
Invoices can be paid by credit card or a check/money order may be mailed to address indicated on the invoice.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service