| Membership Category * |
Individual Membership Institutional Membership Associate Membership Student Membership Alumni Membership |
| Payment Method * |
|
Please invoice me.
|
| Name * | |
| Title * | |
| Institution * | |
| Mailing Address * | |
| City * | |
| State/Province * | |
| Postal Code * | |
| Telephone * | |
| Fax * | |
| Email * | |
| Confirm Email Address: * |
|
| Non-Profit Federal Identification Number | |
| Institution Type * | 2 Year/Community College 4 Year 4+ Year Other |
| If other, please describe | |
| Public, Private, or Both? * | Public Private Both |
| # of Fulltime Undergrads * | |
| # of Fulltime Graduate Students * | |
| Department Website * | |
| Do you wish to be subscribed to the Associations LISTSERV? * | Yes No |
| Primary Focus * |
Conferences Events Both Conferences and Events |
| If primary focus is Conferences, responsible for: |
summer conferences academic conferences scheduling continuing education programming other |
| If primary focus is Events, responsible for: |
scheduling events concerts & performances special events (alumni, weddings, etc.) academic events institutional events (commencement, dignitary, other high profile events) other |
| Department Profile - To whom do you report? (please choose one that most accurately reflects your situation) * |
Administrative/Business Services Advancement/Development Auxiliary Services Continuing Education/Academic Affairs Housing/Residence Life Presidents Office/Public Releations Student Affairs Student Center/Union Other |
| Please indicate other department profile | |
| Job Description * |
Level 1: Provost, President, Chancellor, Vice President Level 2: Assistant/Associate Vice President, Division Head (oversees numerous departments) Level 3: Director/Department Manager (oversees one department) Level 4: Assistant Director/Associate Director/Senior Coordinator/Senior Planner Level 5: Planner/Coordinator/Program Specialist Level 6: Conference/Event Support Staff |
| Personal Profile |
Male Female |
| Certifications |
CCEP CMP CSEP Other |
| Please indicate other certification | |
| Education |
High School Graduate Associate Degree Bachelors Degree Masters Degree Ph.D. or Equivalent |
| Ethinic Origin |
African American Asian American Caucasian Hispanic/Latino Native American Other |
| Please indicate other ethnic origin | |
| Years in Conference/Events Profession |
Less than 2 years 2 - 5 years 6 - 10 years 11 - 15 years Over 15 years |
| Current Salary Range |
Under $25,000 $25,000 - $29,999 $30,000 - $34,999 $35,000 - $39,999 $40,000 - $44,999 $45,000 - $49,999 $50,000 - $54,999 $55,000 - $59,999 $60,000 - $64,999 $65,000 - $69,999 $70,000 - $74,999 $75,000 - $79,999 Over $80,000 |
| How did you hear about us? |
Website Email Colleague Other |
| If you answered Colleague, please provide their name and institution |
|
| If you answered Other, please describe |
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| * Required | |