Curriculum and Pedagogy 2017 Conference Registration

1. 2017 Registration Form

Welcome to the Registration Form for the 2017 Curriculum and Pedagogy Conference in New Orleans, Louisiana, October 18-19, 2017. Our conference is an annual space where work can be shared, valued, and disseminated to a diverse audience committed to educational reform and social change. Please answer the questions that follow in order to complete your conference registration. Questions marked with an asterisk (*) are required. Information regarding payment and lodging will be provided upon completion of this form. Payment is a separate step through PayPal.

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* 1. Please provide your demographic information. Where "Company" appears, please include your institutional affiliation.

Name: *

Company:

Address 1: *

Address 2:

City/Town: *

State/Province: *

ZIP/Postal Code: *

Country: *

Email Address: *

Phone Number: *

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* 2. What is your current professional status? (Choose all that apply).

University Faculty

Graduate Student, Part-Time

Graduate Student, Full-Time

P-12 Practitioner

Independent Scholar

Other (please specify)

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* 3. How many years have you attended C&P (including this year)?

More than 5 years

3-5 years

1-2 years

First-time attendee

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* 4. C&P is committed to supporting graduate students and new members of our group. For those presenting for the first time at a conference we offer a Mentoring Program as outlined in our Call for Proposals. Please indicate your interest regarding the C&P Mentoring Program.

I may attend a mentoring session at the conference and would appreciate an introduction to a seasoned member.

I am interested in serving as a mentor for new C&P members.

I am not interested in participating at this time.

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* 5. Do you have any special needs that C&P should be aware of in order to make our conference accessible and comfortable for you? If so, please describe them below. Otherwise, leave this area blank.

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* 6. Please indicate the appropriate registration bracket for which you intend to pay. Full conference registration includes a one-year subscription to the Journal of Curriculum and Pedagogy and one meal each day on Thursday and Friday. Registrations prior to 18 September are eligible for the early bird rate. NOTE: Your registration is not complete until payment is received. After 13 October registration will only be accepted on-site. In the event of your cancellation, no refund will be provided.

Full Conference Registration, Full Time Professor/ Practitioner (Early Bird $300; Regular $330)

Full Conference Registration, Full Time Graduate Student (Early $285; Regular $310)

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* 7. Please indicate your method of payment. Sorry, due to exchange rates and additional fees for check processing, ONLY electronic payments are accepted. Use the PayPal links on the C&P website to submit your payment via PayPal. PAYMENTS MUST BE PROCESSED BY 18 SEPTEMBER TO RECEIVE THE EARLY BIRD REGISTRATION DISCOUNT.

I am paying by PayPal and the payment will show up in my name.

I am paying by PayPal and the payment will show up under someone else's name, as indicated below.

Payment info for option 2

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* 8. Lodging arrangements at the Bourbon Orleans Hotel must be made separately. The conference lodging rate of $169.00 plus tax per night is only available until 18 September 2017. Hotel contact information is provided on the confirmation page that follows this survey. PLEASE BE SURE TO MENTION THE CONFERENCE TO GET THE GROUP RATE!

Please indicate your intentions regarding lodging:

I intend to reserve a room at the conference rate by 18 September 2017.

I intend to reserve a room at the conference rate by 18 September 2017, but I would like assistance in finding a roommate.

I intend to obtain off-site lodging for the conference.

I am not in need of lodging for the conference.

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* 9. Please review your information above for accuracy before clicking the "next" button at the bottom of the page.

I am ready to complete my registration.