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Fall 2021 Administration

Please fill in Institution Info, all fields are required.

Institution Name

Predominant Degree Offered

Control of Institution

Minority-Serving Institution Status

Estimated Full-Time Enrollment 2021

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First Name

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Last Name

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Position

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Mailing Address

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Phone

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City

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State

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Postal Code

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Will you be the primary contact for your institution?

Primary Contact Name

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Reasons for participating in the NSCI (select one)

Reporting to institutional leadership, alumni or funders

Tracking student engagement in high-impact practices (HIPs)

Identifying gaps in student engagement to inform outreach efforts

Helping to inform institutional planning around career services and/or work-based learning

How did you learn about the NSCI (select one)

Association of American Colleges & Universities

Internship Listserve

CCWT website

Other

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Name	Phone	Email
{{attendee.FirstName}} {{attendee.LastName}}	{{attendee.Telephone}}	{{attendee.EmailAddress}}	Edit	Remove

Total Cost: {{order.OrderTotal | currency}} $0.00

The registration contact is a person who NSCI can get in touch with if a question arises from this order.

First Name

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Last Name

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Address 1

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City

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State

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Phone

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Contact Information

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Attendees

Name	Phone	Email	Attendee Cost
{{attendee.FirstName}} {{attendee.LastName}}	{{attendee.Telephone}}	{{attendee.EmailAddress}}	{{attendee.FormattedAmount}}

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Please indicate your agreement with the Terms of Participation for the NSCI, which is available here.

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PROMO CODE

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You have the option to pay for your institution’s participation in the NSCI online via credit card, or through an invoicing process where you can use a Purchase Order or other forms of payment

Trouble registering? Contact Matthew Hora or call (608) 265-5629

{{conference.Name}} Registration

Fall 2021 Administration

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Contact Information

Attendees

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