2017 Affiliate Leadership Meeting Registration
Please complete this form to register for the 2017 ALL-REGION Affiliate Leadership Meeting, July 7-9, in Atlanta, Georgia. Registrations are due NO LATER THAN MAY 25, 2017. Please use the HOTEL REGISTRATION FORM (https://www.omnihotels.com/hotels/atlanta-cnn-center/meetings/ncte-affiliate-leadership-meeting) to secure your room at the Atlanta Omni. Room reservations are due by May 31, 2017.

Affiliate leaders from ACROSS THE CONTINENT--TWO PER AFFILIATE--are invited to participate in this first-ever all-affiliate meeting. NCTE will share costs with the affiliate according to the Affiliate Leadership Meeting Reimbursement Policy for NCTE members. (http://www.ncte.org/library/NCTEFiles/Groups/Affiliates/ReimbursementPolicy030917.pdf). Other special guests include members of the NCTE Presidential Team, the Standing Committee on Affiliates, Staff, and Invited Speakers.

IF you are NOT a member of one of the above groups (e.g. you are the third, fourth, fifth, or sixth representative of an affiliate; you are a policy analyst; you are an NCTE member with another role in the Council; you are an NCTE member who'd like to attend), we welcome you to attend. BUT, you (or your affiliate) will need to pay a $185 Registration Fee (https://secure.ncte.org/store/2017-affiliate-leadership-meeting-registration-fee) and pay for your own room and transporation.

Please PRINT your form before sending so you have a receipt.

First name:
Your answer
Last name:
Your answer
Name of the group/affiliate you are representing:
Your answer
What is your role in that group/affiliate?
Your answer
Are you the third, fourth, fifth, or sixth representative of an affiliate; a policy analyst; an NCTE member with another role in the Council; an NCTE member who'd like to attend
If your answer to the question above was yes, please explain and after you complete this form, go to https://secure.ncte.org/store/2017-affiliate-leadership-meeting-registration-fee to pay your registration fee.
Your answer
I am an NCTE member (note that affiliate representatives must be NCTE members to receive reimbursements according to the cost-sharing policy).
My goals for this meeting are as follows:
Your answer
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