NCHO/NCCPA 2010 Registration Form

Please complete all of the appropriate items on the form below. At the end of the form, please click the "Next" button. You will then be taken to Page 2 (primarily an information page). Then you will be sent to a Confirmation Page, please print a copy of the confirmation page for your records.

Please enter your preferred name exactly as you would like to have it on your name tag.

Please indicate the funtional area(s) of your position. Select all that apply

Are you interested in participating on any of the following professional development opportunities? If so, please place a check beside the item.

For More Information on the Conference Connections Program - Click Here

*Please only complete the next items if you selected above to be apart of the Conference Connections (CC) Program.

Note: Every attempt will be made to group mentors and mentees based on these preferences, but this cannot be guaranteed until all participants have been registered.

For mentees, would you like to be matched with a professional in a particular functional area of housing (selection and training, conduct, supervision, etc.)?

For mentors, do you have a particular area(s) of expertise (selection and training, conduct, supervision, etc.)?

Interested in giving back in the form of time at this year's conference? We'd love to have your help with the following areas to help make this the best possible conference experience. Please note that you are welcome to bring a Silent Auction item even if you do not indicate as such below. Thank you!

The following meals are included in your registration costs. Which of these meals do you plan to attend?

Guest meals are NOT included in your registration costs. Please indicate if you are having a guest at the following meals. Please note the cost associated per guest per meal.

Please indicate how you will be paying for your registration costs below. If you are paying by personal check or a check processed through a purchase order, please make your check payable to North Carolina Housing Officers and mail your check to:

Scott Iverson - UNC Chapel Hill

CB #5500 Avery Hall

Chapel Hill, NC 27599

Payment must be received by Friday, October 15, 2010.

Registration costs are shown below. Registrations are non-refundable. Registration includes lunch.

Please add the total cost associated with all marked items on the registration form and enter it below. We will double check it when we receive your registration and contact you if we have any questions.

Please press the "Next" button below to submit your registration form and to be taken to the next page.

** Print a copy of the confirmation page to keep for your personal records. **

For Credit Card payment -- read the information on the next page of this form for specifics.