2012 Appreciative Advising Institute - College of Education ...
2012 Appreciative Advising Institute - College of Education ...
2012 Appreciative Advising Institute - College of Education ...
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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_____________