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    WACE EUROPEAN WIL INSTITUTE REGISTRATION
       
    Primary E-Mail Address:
    Is this your first WACE event?
Yes
    Honorific:
    First Name:
    Last Name:
    Position
    Institution Name:
    Institution Mailing Address:
     
    City:
    State / Province:
    Country:
    Postal Code:
    Telephone Number:
    FAX:
    Dietary Restrictions:
     
    QUESTION 1:
    Does your institution currently engage in an assessment and quality assurance process for your Work-Integrated Learning Program?
   
Yes
    If your answer is no, please go to Question #3.
    If yes, please continue:
     
    QUESTION 2:
    Is the assessment and quality assurance process centrally managed or the responsibility of the individual faculties?
   
Individual Faculties
     
    QUESTION 3:
    What are your top 2-3 goals for attending the WACE European WIL Institute?
    Goal1:
   
    Goal 2:
   
    Goal 3:
   
     
    Registration:
      Total: USD
    Payment Method
    ATTENTION: Payment by Credit Card REQUIRES ALL BILLING ADDRESS INFORMATION TO BE FILLED IN!
     
    Please Select Desired Form of Payment:
(See Instruction Below Regarding Payments)
       
    Credit Card Number (MasterCard or Visa Only):
    Expiration Date (mm/yyyy):
    Name on Card:
    Billing Address:
     
    City:
    State / Province:
    Country:
    Postal Code:
       
   

World Association for Cooperative Education WACE
WACE Federal Tax ID # 04-3279172

If Paying by Check Send Registration Form and Payment to:
WACE
Suite 125
600 Suffolk Street
Lowell, MA 01854
USA
Attn: Marty Ford, WACE Director of Global Partnerships & Programs

Please make checks payable to: WACE

For Bank Transfer, please contact the WACE Secretariat for our banking information at
Marty_Ford@uml.edu

       
    Cancellation Policy
Cancellation fee $50 USD prior to MAY 1, 2015.
No refund after MAY 1, 2015.
There will be a $50 USD charge for all returned checks.
Registrations without payment will not be processed until payment is received.