Registration Form
Name:* First: Last:
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Institution/Organization Address:

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Please briefly describe your expectations for the National Institute:

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Please note any food allergies/preferences here:

2015 Conference Fees

      Conference fees include:
  • Access to all sessions (breakfast, lunch and refreshment breaks)
  • Opening Conference Reception (Tuesday - June 2nd - 5:30-7:00 pm)
  • Dinner featuring a special panel session (Wednesday - June 3rd - 5:30-7:30 pm)

Early Bird Registration Discounts: Must register on or before May 4, 2015

  • $700.00 General Admission
  • $500.00 CAEL Members

Registering after May 4, 2015

  • $800.00 General admission
  • $600.00 CAEL Members

Thomas Edison State College staff and mentors must register through the College. Please contact Carol Smith at ext. 2297 or via e-mail at ni@tesc.edu.

Hotel, Parking and Travel Accommodations

*** Conference fees do not include hotel or travel accommodations. ***
Please refer to the National Institute website for information on hotel, parking and travel.

Conference Registration* Click to select/deselect admission type(s) below.

Optional Pre-conference Workshop:
Prior Learning Assessment Theory and Practice: An Overview of Program Essentials for New Practitioners
Pre-conference Workshop - $175
      Tuesday, June 2, 9:30am - 4:00pm

Early Bird Conference Admission:
General Admission before May 4, 2015 - $700
CAEL Member before May 4, 2015 - $500

Standard Conference Admission:

General Admission after May 4, 2015 - $800
CAEL Member after May 4, 2015 - $600

Dinner (June 3, 2015)*:

Click to select/deselect options
I will attend the Dinner (ticket included in registration fee)
I will not attend the Dinner
I would like to purchase additional Dinner tickets at $45 each


Total Cost: $
Method of Payment*
Credit Card Electronic Check
Purchase Order - PO/Requisition # (Required):

Please note that Purchase Orders should be made out to:

        Thomas Edison State College-National Institute


Please mail to:

Thomas Edison State College
Attn: Carol Smith/National Institute
101 W. State Street
Trenton, NJ 08608

Payment must be received by May 4, 2015 to receive the Early Bird Discounted Rates.
Standard Conference Admission payments (including PO's) must be received prior to the beginning of the conference.
If paying by credit card or electronic check, you will be prompted for credit card/check information upon submitting this form.
By checking this box I confirm that I am aware that all Conference fees are not refundable after May 4, 2015. Any cancellations must be sent to ni@tesc.edu and received prior to May 4, 2015 to be eligible for a refund.*