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<strong>2012</strong><br />

<strong>Appreciative</strong><br />

<strong>Advising</strong><br />

<strong>Institute</strong><br />

July 28-31, <strong>2012</strong><br />

Charleston, SC<br />

A A REVOLUTION REVOLUTION<br />

IN IN STUDENT STUDENT<br />

SUCCE SUCCE SS


You are enthusias cally invited to<br />

par cipate in the<br />

<strong>2012</strong> Apprecia ve <strong>Advising</strong><br />

Ins tute<br />

in Charleston, South Carolina.<br />

Building on the excitement and momentum from the<br />

2011 <strong>Appreciative</strong> <strong>Advising</strong> <strong>Institute</strong> last year in Las<br />

Vegas, the 2nd <strong>Appreciative</strong> <strong>Advising</strong> <strong>Institute</strong> will<br />

be held in historic Charleston, SC July 28-31, <strong>2012</strong>.<br />

This highly interactive and hands-on institute will<br />

be action-packed and full <strong>of</strong> practical suggestions<br />

for translating the theory <strong>of</strong> <strong>Appreciative</strong> <strong>Advising</strong><br />

into practice. Steeped in the tenets <strong>of</strong> positive<br />

psychology, <strong>Appreciative</strong> Inquiry, and motivational<br />

theory, <strong>Appreciative</strong> <strong>Advising</strong> is positively impacting<br />

student retention and outcomes at various institutions<br />

across the country. Additionally, a qualitative research<br />

study has demonstrated that advisors who adopt the<br />

<strong>Appreciative</strong> <strong>Advising</strong> framework report enhanced<br />

effectiveness as pr<strong>of</strong>essionals, stronger relationships<br />

with their students, as well as a positive impact on<br />

their personal relationships with co-workers, children,<br />

spouses, and friends (Howell, 2010).<br />

The <strong>Appreciative</strong> <strong>Advising</strong> <strong>Institute</strong> is intentionally<br />

designed to teach participants the theoretical structure<br />

<strong>of</strong> <strong>Appreciative</strong> <strong>Advising</strong> AND to provide skills<br />

training in implementing this framework. Unlike<br />

most conferences, there will be ample opportunity for<br />

attendees to extend theory to practice. Participants<br />

will learn how to use the six phases <strong>of</strong> <strong>Appreciative</strong><br />

<strong>Advising</strong>: Disarm, Discover, Dream, Design, Deliver,<br />

and Don’t Settle to help their students optimize their<br />

educational experiences and to help participants<br />

optimize their educational experiences. Participants<br />

will have the opportunity to reflect on their own goals<br />

and dreams to optimize their own lives.<br />

“I really enjoyed the hands-on<br />

approach. It was so nice to work with<br />

and learn from the other advisors at<br />

the <strong>Institute</strong>. I greatly appreciate the<br />

willingness <strong>of</strong> the facilitators to adapt<br />

the conversations and structures to<br />

meet my needs as a participant.”<br />

- 2011 <strong>Appreciative</strong> <strong>Advising</strong><br />

What is <strong>Appreciative</strong> <strong>Advising</strong>?<br />

<strong>Institute</strong> Participant<br />

<strong>Appreciative</strong> <strong>Advising</strong> is the intentional<br />

collaborative practice <strong>of</strong> asking positive, openended<br />

questions that help students optimize<br />

their educational experiences and achieve their<br />

dreams, goals, and potentials. See http://www.<br />

appreciativeadvising.net for a complete list <strong>of</strong><br />

more than 40 books and articles that document<br />

how this framework is being utilized throughout<br />

the country.<br />

What are the six phases <strong>of</strong> <strong>Appreciative</strong><br />

<strong>Advising</strong>?<br />

DISARM involves making a positive first impression<br />

with students and allaying any fear or suspicion<br />

they might have <strong>of</strong> meeting with the advisor.<br />

DISCOVER is spent continuing to build rapport<br />

with students and learning about the students’<br />

strengths, skills, and abilities.<br />

DREAM involves uncovering students’ hopes and<br />

dreams for their futures.<br />

DESIGN make their hopes and dreams come<br />

true.<br />

DELIVER is the implementation phase where<br />

students carry out their plan and the advisor’s<br />

role is to support them as they encounter<br />

roadblocks.<br />

DON’T SETTLE involves challenging the students<br />

to achieve their full potential.


Who Should Attend this Conference?<br />

Anyone who works with people! Specifically,<br />

pr<strong>of</strong>essional and faculty advisors will discover<br />

ideas that they can take back to their <strong>of</strong>fices<br />

and implement immediately. Student affairs<br />

pr<strong>of</strong>essionals and administrators from across<br />

campus will take away just as many useful skills<br />

and tools as an academic advisor!<br />

Why Should You Attend this Conference?<br />

Given the increased pressure on higher education<br />

institutions to increase their student retention<br />

rates as well as significant decreases in funding<br />

revenues, it is clear that the status quo is no longer<br />

a defendable position. What these challenging<br />

times demand <strong>of</strong> higher education administrators<br />

is a revolutionary approach to student success.<br />

<strong>Appreciative</strong> <strong>Advising</strong> is that revolutionary<br />

approach, focusing on the very best our students<br />

have to <strong>of</strong>fer. This <strong>Institute</strong> will reignite your<br />

passion for empowering students and your<br />

enthusiasm will be contagious!<br />

How will I benefit from attending this <strong>Institute</strong>?<br />

• You will get a hands-on learning opportunity<br />

to develop <strong>Appreciative</strong> <strong>Advising</strong> skills.<br />

• You will receive an <strong>Appreciative</strong> <strong>Advising</strong> tool<br />

kit that you can take back to your <strong>of</strong>fice to<br />

use with your students and to share with your<br />

colleagues.<br />

• You will have the opportunity to learn from,<br />

work with, and be inspired by, the top<br />

<strong>Appreciative</strong> <strong>Advising</strong> pr<strong>of</strong>essionals in the<br />

world.<br />

• You will learn how to revolutionize relationships<br />

with your students, family members, friends,<br />

and others.<br />

• You will have the opportunity to interact and<br />

network with pr<strong>of</strong>essionals from across higher<br />

education.<br />

• You will have the opportunity to make a<br />

difference!<br />

How is the <strong>Appreciative</strong> <strong>Advising</strong> <strong>Institute</strong> Different<br />

from other Conferences and <strong>Institute</strong>s?<br />

• Less lecturing, more doing!<br />

• Opportunity to build substantive relationships<br />

with the top <strong>Appreciative</strong> <strong>Advising</strong> pr<strong>of</strong>essionals<br />

•<br />

•<br />

•<br />

as well as with colleagues from throughout the<br />

country.<br />

Small groups allow participants to practice new<br />

skills and techniques.<br />

You will leave the conference with practical skills<br />

and strategies that you can immediately put to<br />

use when you return.<br />

A fun, energizing atmosphere that will help you<br />

remember why you wanted to work in higher<br />

education. You will leave Charleston refreshed,<br />

revitalized, and recommitted to student success!<br />

Conference Schedule-at-a-Glance<br />

This is an outline <strong>of</strong> the actual conference schedule,<br />

and it may be adjusted as necessary. You will<br />

receive a copy <strong>of</strong> the program when you pick up<br />

your materials at the conference.<br />

Saturday, July 28, <strong>2012</strong><br />

2:30 - 3:30 pm Registration<br />

3:30 - 6:00 pm General Session<br />

Sunday, July 29, <strong>2012</strong><br />

8:00 - 8:30 am Continental Breakfast<br />

8:30 - 9:30 am Disarm General Session<br />

9:30 - 10:00 am Break<br />

10:00 - 11:20 am Disarm Small Groups<br />

11:20 - 11:30 am Transition Time<br />

11:30 - 12 Noon Round Robin<br />

12 Noon - 1:00 pm Lunch<br />

1:00 - 2:00 pm Discover General Session<br />

2:00 - 2:30 pm Break<br />

2:30 - 3:35 pm Discover Small Groups<br />

3:45 - 4:00 pm Transition Time<br />

4:00 - 4:45 pm ADVISE! Session<br />

Monday, July 30, <strong>2012</strong><br />

8:00 - 8:30 am Continental Breakfast<br />

8:30 - 9:30 am Dream General Session<br />

9:30 - 10:00 am Break<br />

10:00 - 11:20 am Dream Small Groups<br />

11:20 - 11:30 am Transition Time<br />

11:30 - 12 Noon Round Robin<br />

12 Noon - 1:00 pm Lunch<br />

1:00 - 2:00 pm Design General Session<br />

2:00 - 2:30 pm Break<br />

2:30 - 3:35 pm Design Small Groups<br />

3:45 - 4:00 pm Transition Time<br />

4:00 - 4:45 pm ADVISE! Session<br />

Tuesday, July 31, <strong>2012</strong><br />

8:00 - 8:30 am Continental Breakfast<br />

8:30 - 9:30 am Deliver & Don’t Settle<br />

General Session<br />

9:30 - 10:00 am Break<br />

10:00 - 12 Noon Deliver & Don’t Settle<br />

Small Groups<br />

12 Noon - 1:30 pm Lunch/Wrap-Up Session


<strong>Institute</strong> Faculty<br />

Jennifer L. Bloom<br />

Jenny is a Clinical Pr<strong>of</strong>essor<br />

and Director <strong>of</strong> the Master’s<br />

degree program in the Higher<br />

<strong>Education</strong> and Student Affairs<br />

Program at the University<br />

<strong>of</strong> South Carolina. Prior<br />

to her appointment at the<br />

University <strong>of</strong> South Carolina<br />

in August 2007, she served as<br />

the Associate Dean for Student Affairs & the Medical<br />

Scholars Program at the University <strong>of</strong> Illinois <strong>College</strong><br />

<strong>of</strong> Medicine at Urbana-Champaign. Dr. Bloom was<br />

elected to serve as the 2007-08 President <strong>of</strong> the<br />

National Academic <strong>Advising</strong> Association (NACADA).<br />

She has co-authored 12 articles, three book chapters,<br />

and four books – Career Aspirations & Expeditions:<br />

Advancing Your Career in Higher <strong>Education</strong><br />

Administration (2003), The <strong>Appreciative</strong> <strong>Advising</strong><br />

Revolution (2008), <strong>Appreciative</strong> <strong>College</strong> Instruction:<br />

Becoming a Force for Positive Change in Student<br />

Success Courses (2011) and Increasing Persistence:<br />

Research-based Strategies for <strong>College</strong> Student Success<br />

(<strong>2012</strong>). In addition, she has presented her work at<br />

over 160 conferences and U.S. and Canadian higher<br />

education institutions.<br />

Wes Habley<br />

Wes Habley is Principal<br />

Associate and Coordinator<br />

<strong>of</strong> ACT’s Office <strong>of</strong> State<br />

Organizations. He received<br />

his BS in music education and<br />

M.Ed. in student personnel<br />

from the University <strong>of</strong> Illinois-<br />

Urbana/Champaign, and<br />

his Ed.D.from Illinois State<br />

University in educational administration. Prior to joining<br />

ACT, Habley directed advising programs at Illinois State<br />

University and the University <strong>of</strong> Wisconsin-Eau Claire.<br />

With Jenny Bloom and Steve Robbins, Habley recently<br />

published Increasing Persistence: Research-based<br />

Strategies for <strong>College</strong> Student Success (<strong>2012</strong>) . He is coeditor<br />

<strong>of</strong> both the first (2000) and the second (2008)<br />

editions <strong>of</strong> Academic <strong>Advising</strong>: a comprehensive<br />

handbook and the author <strong>of</strong> publications on four<br />

<strong>of</strong> ACT’s National Surveys <strong>of</strong> Academic <strong>Advising</strong><br />

and two national retention surveys (What Works in<br />

Student Retention). Habley is a charter member <strong>of</strong><br />

NACADA and has served the association in numerous<br />

roles including president and treasurer. He originated<br />

the NACADA Summer <strong>Institute</strong> on Academic <strong>Advising</strong><br />

in 1987 and in 2006 the NACADA Summer <strong>Institute</strong><br />

Scholarship was named in his honor. He is also the<br />

recipient <strong>of</strong> NACADA’s awards for Outstanding<br />

Contributions to the Field <strong>of</strong> Academic <strong>Advising</strong><br />

and Service to NACADA. Habley has served as a<br />

consultant/speaker/workshop leader at more than<br />

130 colleges in the U.S., the Middle East, and Canada.<br />

Bryant L. Hutson<br />

Bryant L. Hutson is Associate<br />

Director for the University<br />

Teaching and Learning<br />

Center at the University<br />

<strong>of</strong> North Carolina at<br />

Greensboro (UNCG). He<br />

facilitates the pr<strong>of</strong>essional<br />

development <strong>of</strong> faculty and<br />

staff to enhance the quality<br />

<strong>of</strong> teaching, learning and advising. While serving as<br />

the Associate Director for Student Academic Services<br />

at UNCG, he oversaw advising programs and led<br />

the effort in developing and implementing the<br />

<strong>Appreciative</strong> <strong>Advising</strong> Inventory. The <strong>of</strong>fice received<br />

the Noel-Levitz Retention Excellence Award in 2004<br />

and 2009 and the NACADA Outstanding <strong>Advising</strong><br />

Program Award in 2004 for programs based on<br />

appreciative advising. In addition to co-authoring<br />

The <strong>Appreciative</strong> <strong>Advising</strong> Revolution(2008) and<br />

<strong>Appreciative</strong> <strong>College</strong> Instruction: Becoming a Force<br />

for Positive Change in Student Success Courses<br />

(2011), he has made more than 70 conference<br />

presentations, and has published several articles in<br />

peer-reviewed journals on academic advising, student<br />

retention, and especially the use <strong>of</strong> assessments<br />

to enhance the quality <strong>of</strong> student success efforts.<br />

“I’m so appreciative that I fi nally<br />

have a language to use to apply<br />

techniques that I have been using<br />

all along, but also a framework to<br />

utilize and enable me to improve<br />

on my approach to advising.”<br />

- 2011 <strong>Appreciative</strong> <strong>Advising</strong><br />

<strong>Institute</strong> Participant


Ye He<br />

Ye He is Assistant Pr<strong>of</strong>essor<br />

in the Teacher <strong>Education</strong><br />

and Higher <strong>Education</strong><br />

Department at the<br />

University <strong>of</strong> North Carolina<br />

at Greensboro (UNCG).<br />

She currently serves as<br />

the English-as-a-Second-<br />

Language (ESL) teacher<br />

education program coordinator and advises both<br />

undergraduate and graduate students. She has been<br />

actively involved in international exchange programs<br />

and works closely with international students and<br />

faculty. Her research focuses on the promotion <strong>of</strong><br />

strength-based culturally responsive practices in<br />

education. She has presented regularly at national<br />

and international conferences and has co-authored<br />

15 peer-reviewed journal articles, 2 book chapters,<br />

and 3 books – The <strong>Appreciative</strong> <strong>Advising</strong> Revolution<br />

(2008), Developing Critical Cultural Competence:<br />

A Guide for 21st Century Educators (2011), and<br />

<strong>Appreciative</strong> <strong>College</strong> Instruction: Becoming a Force<br />

for Positive Change in Student Success Courses(2011).<br />

Joe Murray<br />

Joe Murray has served as<br />

the Director <strong>of</strong> Academic<br />

<strong>Advising</strong> and Retention<br />

Services at Miami University’s<br />

Hamilton Campus since<br />

1992. He earned both<br />

a Bachelor <strong>of</strong> Science in<br />

Engineering and a Master <strong>of</strong><br />

Science in Human Resource<br />

Management degrees from Purdue University. He<br />

has helped to develop and refine the <strong>Appreciative</strong><br />

<strong>Advising</strong> Inventory and been part <strong>of</strong> a national task<br />

force aimed at advancing the concept <strong>of</strong> <strong>Appreciative</strong><br />

<strong>Advising</strong>. Joe works tirelessly to help students<br />

that are traditionally underrepresented in higher<br />

education. He has advocated for new legislation to<br />

change Ohio laws and operating policies to increase<br />

access to higher education for Ohio’s Lower Income/<br />

Disadvantaged Youth and Foster Care Alumni. He<br />

has served as the Co-Chair <strong>of</strong> the First-Generation<br />

<strong>College</strong> Student Interest Group for the National<br />

Academic <strong>Advising</strong> Association (NACADA) from<br />

2007 until <strong>2012</strong>. He has presented numerous times at<br />

both NACADA and NASPA. Most recently, he served<br />

on the faculty for the 2010 national conference on<br />

Academic <strong>Advising</strong> Strategies to Increase Persistence<br />

and for the 2011 <strong>Appreciative</strong> <strong>Advising</strong> <strong>Institute</strong>.<br />

Claire Robinson<br />

Claire Robinson is the<br />

Associate Director <strong>of</strong> the<br />

Student Success Center at<br />

the University <strong>of</strong> South<br />

Carolina (USC) and has<br />

directed the academic<br />

success coaching program<br />

at USC since 2007. Using<br />

the <strong>Appreciative</strong> <strong>Advising</strong><br />

framework, Claire trains<br />

graduate students who serve as ACE Coaches within<br />

the Academic Centers for Excellence (ACE) <strong>of</strong>fering<br />

individualized student support on campus. Claire has<br />

consulted at several institutions on academic success<br />

coaching, succeeded in getting the ACE program<br />

CRLA level three certified, and awarded program<br />

winner <strong>of</strong> the 2009 NASPA Excellence Bronze Award<br />

in academic support. Claire also co-authored the<br />

book <strong>Appreciative</strong> <strong>College</strong> Instruction: Becoming a<br />

Force for Positive Change in Student Success Courses<br />

and teaches a section <strong>of</strong> a freshmen seminar course.<br />

Amanda Cuevas<br />

Amanda Cuevas serves as<br />

Director <strong>of</strong> the Frederik<br />

Meijer Office <strong>of</strong> Fellowships<br />

at Grand Valley State<br />

University (GVSU). Amanda<br />

appreciatively advises<br />

students who aspire to<br />

compete for nationally<br />

prestigious scholarships and<br />

fellowships. She previously served as Pre-Pr<strong>of</strong>essional<br />

Advisor in the <strong>College</strong> <strong>of</strong> Liberal Arts & Sciences<br />

Academic <strong>Advising</strong> Center at GVSU and as Assistant<br />

Dean for Student Affairs and the Medical Scholars<br />

Program at the University <strong>of</strong> Illinois at Urbana-<br />

Champaign (UIUC), one <strong>of</strong> the nation’s largest MD/<br />

PhD Programs. Amanda has also developed and<br />

taught first-year seminars infusing the <strong>Appreciative</strong><br />

<strong>Advising</strong> Framework. Amanda holds a B.A. in Speech<br />

Communication-Organizational Communication<br />

track with Honors from the University <strong>of</strong> Texas-Pan<br />

American, M.A. in Speech Communication with<br />

emphases in organizational communication, training<br />

and development, and student affairs from Texas State<br />

University, and is pursuing her doctorate in Higher<br />

<strong>Education</strong> Leadership at Azusa Pacific University.


Erin Konkle<br />

Erin is a doctoral student at<br />

the University <strong>of</strong> Minnesota<br />

in Organizational Leadership,<br />

Policy, and Development<br />

where she works as a<br />

Graduate Research and<br />

Teaching Assistant. Previously<br />

she served as Administrative<br />

Director <strong>of</strong> the Office for<br />

Optimizing <strong>Education</strong>al Experiences at the University<br />

<strong>of</strong> South Carolina where she developed an online<br />

course, created an advisor certification system,<br />

and developed and implemented the <strong>Appreciative</strong><br />

<strong>Advising</strong> <strong>Institute</strong>. Erin now words as a consultant<br />

for oe2 and institutions using <strong>Appreciative</strong> <strong>Advising</strong> in<br />

Student Affairs. Erin also worked for the Department<br />

<strong>of</strong> Student Life at the University <strong>of</strong> South Carolina. Erin<br />

began her career as a social worker with Big Brothers<br />

Big Sisters Southeastern Pennsylvania coordinating<br />

University partnerships.<br />

Rob Freidh<strong>of</strong>f<br />

Rob has spent the past 9 years<br />

advising at Grand Valley State<br />

University. In his current<br />

role as Student Services<br />

Coordinator for the Padnos<br />

<strong>College</strong> <strong>of</strong> Engineering and<br />

Computing, Rob integrates<br />

appreciative advising on<br />

a daily basis. In addition<br />

to academic advising, Rob is interested in<br />

educational technology and is assisting in the creation<br />

<strong>of</strong> the online <strong>Appreciative</strong> <strong>Advising</strong> Certificate course<br />

which will be <strong>of</strong>fered Fall <strong>2012</strong> through the University<br />

<strong>of</strong> South Carolina. Rob received his B.S. In Health<br />

Sciences and M.Ed. in Adult and Higher <strong>Education</strong>,<br />

both from Grand Valley State University.<br />

“The best pr<strong>of</strong>essional development<br />

experience I have ever had. The<br />

faculty made me feel like what<br />

I do matters and I feel like I<br />

have a new network <strong>of</strong> friends.”<br />

- 2011 <strong>Appreciative</strong> <strong>Advising</strong><br />

<strong>Institute</strong> Participant<br />

Accommodations<br />

Named for General<br />

Francis Marion, the<br />

“Swamp Fox” <strong>of</strong> the<br />

American Revolution,<br />

the Francis Marion<br />

Hotel opened in 1924 as<br />

the largest and grandest<br />

in the Carolinas. It was<br />

originally built by local<br />

investors at a cost <strong>of</strong> $1.5 million from plans by<br />

noted New York architect W.L. Stoddard, who also<br />

built the gracious Poinsett Hotel in Greenville, SC.<br />

Throughout the years, many notable historic and<br />

famous clientele enjoyed the hotel’s full service<br />

and convenient location. In 1996, an extensive<br />

restoration earned the hotel the esteemed National<br />

Trust Award and once again the Francis Marion<br />

opened its doors as Charleston’s Grand Hotel.<br />

Today, our traditional services continue to provide<br />

doorman and bell service, concierge, valet parking,<br />

room service, wireless Internet services, business<br />

center, newsstand, gift shop, Starbucks and a wellequipped<br />

fitness center. Guests can enjoy classic<br />

Southern cuisine for breakfast, lunch and dinner<br />

in The Swamp Fox Restaurant & Bar, a Charleston<br />

restaurant, known for its artfully prepared dishes<br />

using local farm fresh ingredients. Or simply relax<br />

with cocktails and jazz piano music in The Swamp<br />

Fox Bar. The hotel also <strong>of</strong>fers complete spa services<br />

at the on-site Spa Adagio.<br />

Few hotels in the<br />

Historic District <strong>of</strong>fer<br />

visitors an opportunity<br />

to immerse themselves<br />

in Charleston’s past<br />

and present with such<br />

convenience. Our<br />

exceptional location<br />

provides guests with an easy walk to an array<br />

<strong>of</strong> shops, restaurants, antiques and attractions,<br />

including the South Carolina Aquarium, Charleston<br />

Harbor Tours, <strong>College</strong> <strong>of</strong> Charleston and the<br />

Charleston Visitor Center.<br />

To make your reservation, call 877-756-2121. To<br />

receive the special group rate <strong>of</strong> $129.00 ask for<br />

the “<strong>Appreciative</strong> <strong>Advising</strong> Rate.” Be sure to call<br />

and secure your room before June 27, <strong>2012</strong>; after<br />

this date, the rooms and rate will be based on<br />

availability.


Pre-Registration deadline: June 29, <strong>2012</strong>!<br />

Please complete the Participant Registration Form (below) and mail with payment to: <strong>2012</strong> <strong>Appreciative</strong> <strong>Advising</strong><br />

<strong>Institute</strong>, USC <strong>College</strong> <strong>of</strong> <strong>Education</strong>, Wardlaw 252, Columbia, S.C., 29208. Payment may be made by check or credit<br />

card only. For your convenience, you may pay by Discover, VISA, MasterCard or American Express. Credit card<br />

registrations can be completed by fax transmission. Cardholder signature is required on the registration form in order to<br />

process the credit card payment. The conference fax number is (803) 777-3035. Be sure to send a completed registration<br />

form if you register by fax. Our Federal Tax ID number is 57-6001153. Please make checks payable to the University<br />

<strong>of</strong> South Carolina. For security reasons registrations which include credit card payment MAY NOT be sent by email.<br />

No refunds can be made on paid conference registrations. Please contact the Conference Office at (803)<br />

777-1515 to alert us <strong>of</strong> substitutions. In the unlikely event that we cancel the conference, we will notify<br />

you if we have received your registration in advance. The University <strong>of</strong> South Carolina is not responsible<br />

for any change/cancellation charges assessed by airlines, travel agents, hotels or other similar vendors. By<br />

registering for the conference, you give permission for your likeness to be used in future promotional materials.<br />

<strong>2012</strong> APPRECIATIVE ADVISING INSTITUTE<br />

PARTICIPANT REGISTRATION FORM<br />

Please print or type information as you would like it to appear on conference materials.<br />

DR. MR. MS. NAME____________________________________________ FIRST NAME (FOR NAME BADGE)_____________________________<br />

TITLE___________________________________________________ DEPARTMENT ____________________________________________________<br />

INSTITUTION________________________________________________________________________________________________________________<br />

INSTITUTION ADDRESS_________________________________________________________________________________________________________<br />

CITY___________________________________ _______________________________ STATE___________________ ZIP____________________<br />

DAYTIME PHONE ( )____________________________________EMAIL ADDRESS (REQUIRED) ___________________________________________<br />

Pre-Registered Single Participant $595.00<br />

Pre-Registered Group Participant $555.00 each (Groups <strong>of</strong> 4 or more from the same institution whose registrations are received<br />

together)<br />

Late Registration $635.00 (After June 29, <strong>2012</strong>)<br />

Registration fee includes conference sessions (Saturday, Sunday, Monday), continental breakfasts, lunches, and conference<br />

materials.<br />

PAYMENT: CHECK ONE PLEASE<br />

Check Enclosed (Make checks payable to USC.) Amount Enclosed:________________<br />

VISA MasterCard Discover American Express<br />

Acct. #:____________________________________________________________________________ Expiration Date:_______________________<br />

Name on Credit Card: __________________________________________ Phone # <strong>of</strong> Card Holder: ___________________________________<br />

Cardholder’s Signature (Required):___________________________________________________ Date:________________________________<br />

Credit card registrations may be completed by fax transmission. Please transmit completed registration form with method <strong>of</strong><br />

payment to (803) 777-4807. Our Federal Tax I.D. number is 57-6001153. I am disabled and may require<br />

assistance from conference staff.<br />

I have read and agree with the policies stated in this brochure.<br />

___________________________________________________________<br />

(Registrant’s Signature Required)<br />

Complete registration form and mail to:<br />

<strong>2012</strong> <strong>Appreciative</strong> <strong>Advising</strong> <strong>Institute</strong><br />

University <strong>of</strong> South Carolina • <strong>College</strong> <strong>of</strong> <strong>Education</strong><br />

Wardlaw 252 • Columbia, SC 29208<br />

Phone (803) 777-1515 • Fax (803) 777-3035<br />

ENRL _________ LOG#_____________ MTH_____________ APPVL________________ RECP#______________ RFDATE_____________

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