WACE INSTITUTE TEAM REGISTRATION
  Primary Contact E-Mail Address:
  Primary Contact Full Name:
     
  Institution Name:
  Institution Mailing Address:
   
  City:
  State / Province:
  Country:
  Postal Code:
  Telephone Number:
  Approximate Number of Team Members
     
  DOMESTIC Current Anticipated A priority for
planning at the Institute
         
  Internships
Priority for Planning
  Cooperative Education or Sandwich Placements
Priority for Planning
  Work-Integrated Learning Placements
Priority for Planning
  Work-Integrated Learning Simulations, & Other Non-placement WIL
Priority for Planning
  Service-Learning / Community Service
Priority for Planning
  Undergraduate Research
Priority for Planning
  Community-based Research
Priority for Planning
  Project / Problem-based Learning
Priority for Planning
  Other (Please Describe)
 
     
  INTERNATIONAL Current Anticipated A priority for
planning at the Institute
         
  Global Partnerships
Priority for Planning
  Study Abroad
Priority for Planning
  International SL / Community Service
Priority for Planning
  International Internships
Priority for Planning
  International Cooperative Education
Priority for Planning
  International WIL / Coop etc Exchanges
Priority for Planning
  Other (Please Describe)  
 
  WACE PLANNING INSTITUTE FEES
  Marty Ford will contact you to determine the final cost of attendance for your team.
  TUITION
Five Day Planning Institute Tuition: $840.00
Including all materials, interactive presentations by Faculty experts, meetings with Team Facilitators and consultation with Faculty through the week
(The tuition is a non-refundable deposit, per person, required upon acceptance to the Planning Institute)
   
  BOARD
PLANNING INSTITUTE BOARD: $560.00
Board includes two (2) receptions, Ten (10) meals including New England Lobsterbake & continuous breaks
   
  LODGING
PLANNING INSTITUTE LODGING: $440.00
Single room at the Essex Conference Center for four (4) evenings
(Room is optional should you choose to stay at a local hotel or commute daily to the Essex Conference Center)
   
  Should you have any questions, please contact Marty at Marty_Ford@uml.edu