• Home
• About the Conference
• Submit a Proposal
• Program Schedule
• Presenter Biographies
• Registration Form
• PACC Pre-Conference
• Directions
• Taxi Information
• Campus Map
• Contact Information
• S-L Jobs and Education

 

Serving Our Neighbors:  Learning Across the Lines that Divide Us

 

 

Registration Form

Registration for the conference is $200, which includes meals and double occupancy lodging in air-conditioned rooms on campus. The registration fee is $150 for commuters and includes meals.

 

Single occupancy accommodations are available for $15.00 extra for your stay.  Conference dress is casual.

 

Registration for this conference is non-refundable. Please contact us if you have any questions.

  

 

 

  

   

---

Please fill out the form below to register for the conference.

 

Fields marked in red are REQUIRED.   Fields marked with an asterisk (*) will appear on your name tag.

 

 

Registration Type

Regular Registration (Includes housing) $200

Commuter Registration (No housing) $150

Personal Information

 

* Title:
* First Name:	* MI:
* Last Name:
Address:
City:
State:	< SELECT > Alabama Alaska Alberta Arizona Arkansas Armed Forces Africas Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas US Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory
Zip Code:
Phone Number:
Fax Number:
Email Address:
* Position Title:
* Institutional Affiliation:
Special Dietary Considerations:	- Select - Allergies Faith-based Dietary Preferences Gluten free Vegan Vegetarian Other Other:
Requests for assistance:	- Select - Braille Language Translator Sign Language Interpreter Wheelchair Accessible
Any other considerations:
Transportation
Probable mode of transportation:
Flight Information for Harrisburg International Airport (MDT)
Arriving to the Conference:
Place of Departure:
Flight Number:
Arrival Time at MDT:
Departing the Conference:
Departure Time from MDT:
Flight Number:
Place of arrival:
Train Information
Arrival Time:
Departure Time:
Departure Location:
Destination Location:
Emergency Contact Information This information will be kept private and only will be used in the event of an emergency.
Name:
Relationship:
Phone number:
Your cell phone number:

Check here if you are interested in single occupancy rooms for an additional $15.00 a night.