Perspectives on PLA: Strategies for Student and Institutional Success
June 8 - 10, 2016

with an optional pre-conference workshop on June 7, 2016

Registration Form

Name:* First: Last:
Title:*
Institution or Organization:*

Institution/Organization Address:

Country:*
Street:*
City:*
State:*
Zip Code:*
Preferred Phone:*
Fax Number:
E-mail Address:*

Please briefly describe your expectations for the National Institute:

* required fields

Please note any food allergies/preferences here:

2016 Conference Fees

      Conference fees include:
  • Access to all sessions (breakfast, lunch and refreshment breaks)
  • President's Welcome Reception (Wednesday - June 8th - 5:30-7:00 pm)

Early Bird Registration Discounts: Must register on or before May 9, 2016

  • $700.00 General Admission
  • $500.00 CAEL Members

Registering after May 9, 2016

  • $800.00 General admission
  • $600.00 CAEL Members

Thomas Edison State University staff and mentors must register through the University. Please contact Carol Smith at ext. 2297 or via e-mail at ni@tesu.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:
Pre-conference Workshop - $200
      Tuesday, June 7, 9:30am - 4:00pm

Early Bird Conference Admission:
General Admission before May 9, 2016 - $700
CAEL Member before May 9, 2016 - $500

Standard Conference Admission:

General Admission after May 9, 2016 - $800
CAEL Member after May 9, 2016 - $600

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

Please note that Checks and Purchase Orders should be made out to:

        Thomas Edison State University-National Institute


Please mail to:

Thomas Edison State University
Attn: Bursar's Office-National Institute
111 W. State Street
Trenton, NJ 08608

Payment must be received by May 9, 2016 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 9, 2016. Any cancellations must be sent to ni@tesu.edu and received prior to May 9, 2016 to be eligible for a refund.*