* Required

NJAIS Diversity Day 5.3.16

Date: Tuesday, May 3, 2016

Location: Saint Peter’s Preparatory School, 144 Grand Street, Jersey City 07302

(visit the website for directions)

Time: 9:30 p.m.-2:30 p.m.

Fee: $75 per person, member schools; $125 per person non-member schools

Continental breakfast and lunch included

Join us for a full day of thought-provoking programs, round tables, and workshops. Please see the agenda below (subject to some minor adjustments):

AGENDA (DRAFT) and PARTICIPANT DISCUSSION TOPIC REQUESTS AND QUESTIONS

Registration Form

Please complete the registration for this workshop below:

First Namerequired

Last Namerequired

Emailrequired

Name of School or Organizationrequired

Position/Titlerequired

In the event of a schedule change or program cancellation, what is the best phone number to reach you?required

Is there any information about yourself that you would like to share with the group?

(i.e. social media accounts, blogs, websites)

Non-Member Schools Only: Please complete below:

Non-Member School/Organization Address

Address 2

City

State

Zip

Non-Member School/Organization Phone Number

(where we can reach you and for billing questions)

MEMBER INFORMATION:If your school is a member of NJAIS, upon receipt of your registration, we will automatically generate an invoice and send it to your Business Office. Payment is not required at the time of your registration. Your school will have 30 days to pay the invoice.

NON-MEMBER INFORMATION: If you are an employee of an organization or school that is NOT a member of NJAIS and you are registering for this workshop, please provide the company/school address. We will automatically generate an invoice and send it to your Business Office. Payment is not required at the time of your registration. Your school will have 30 days to pay the invoice. Thank you.

Cancellation Policy:

For Round Tables: Registration fees will only be refunded if NJAIS is notified of your cancellation one week prior to the program.

For Workshops, Conferences and Retreats: Registration fees will only be refunded if NJAIS is notified of your cancellation two weeks prior to the program.

In the event of inclement weather, programs may be delayed or postponed.

Please send a confirmation email to the address below*: