Messiah College


 

Please complete the following form to register for the ACSD 2010 conference.

Changes to Registration Information:
If you desire to change your already submitted registration information, please do not fill out this form again.  Instead, please e-mail your changes to acsd10@messiah.edu .  Include your name, organization name, relevant contact information and your desired changes.  We will be happy to help in any way that we are able.

PERSONAL INFORMATION
First Name
Last Name
Preferred First Name
Institution Name
Position/Title
Address One
Address Two
City
State
Zip Code
Country
Phone Number
E-mail address
Gender Male Female

RECEPTION INFORMATION
Is this your first ACSD Conference?  Yes No
If not, how many ACSD conferences have you attended?
Are you employed at a secular institution? Yes No

CONFERENCE FEES
Conference fee includes:

  • double occupancy lodging in a residence hall for the nights of June 7 – 9
  • meals for June 7 – 10, beginning with the Monday evening banquet and ending with Thursday’s breakfast. 

Additional housing options for single rooms, apartments or commuters are listed below under housing.

 
Before
Feb. 28, 2010
March 1 - March 31, 2010
April 1 – May 30, 2010
ACSD Member
$270
$300  
$350  
Non-ACSD Member  
$305
$335  
$385  
ACSD Member Student Rate (full-time)
$235
$265
$315
Non-ACSD Member Student Rate (full-time) 
$270
$300
$350

Please select one: 
ACSD Member @ $270
Non-ACSD Member @ $305
ACSD Member Student (full time) @ $235
Non-ACSD member Student (full-time) @ $270

 

HOUSING

Please select your conference housing:
Double Residence Hall Room: No additional charge 
Single Residence Hall Room: $60 additional charge
Apartment (2 or 4 residents per apartment) Housing:  $25 additional charge
Commuter Rate (no lodging on campus): $60 reduced rate
     
Optional: Additional housing for Sunday, June 6:  $35
 
Roommate Preference:  We will do our best to accommodate preferences.  Priority will be given to registrants with mutual roommate requests.

Name
Institution
   
Name
Institution
   
Name
Institution
   
Name
Institution

 

PRE-CONFERENCE WORKSHOPS:
Optional pre-conference Workshops are scheduled for  Monday, June 7 from 1 – 4 p.m. and cost $55, lunch included.
   
Renewing Learning: Academic and Student Affairs Partnership Programs 
Christian Spiritual Formation 
What’s Your Story? 
Tools for Multicultural Education 

 

EXCURSIONS:
Excursions are scheduled for Thursday, June 10, following the Commissioning Service. 

   
Golf Scramble   $38 
Lancaster County: A Tour of Amish Community   $35 
Guided Canoe Trip Down the Yellow Breeches Creek   $13 
   
If you prefer to register for an excursion at a later date, please register at www.messiah.edu/acsd/excursions

CANCELLATIONS

To cancel a registration and request a refund, a written request must be sent to acsd2010@messiah.edu.
• Refund requests received by March 31 will receive a full refund less a $50 service and processing fee.
• Refund requests received between April 1 – April 30 will receive a refund equal to 50 percent of the appropriate registration fees.
• Refund requests received after April 30, 2010 will not be honored. 
• Transfers of registrations will be considered until May 31, 2010.  Please contact acsd2010@messiah.edu for details.

 

ADDITIONAL INFORMATION
Please list any Special Needs related to the conference: