NCPN Online Registration Form

This form is only for attendees who are prepared to register and pay for
their registration online today using a credit card.

To pay by check, please download this printed version and mail along with your check.

Linda Locke, Registrar, P.O. Box 21689, Waco, TX 76702-1689 llocke@cord.org or call 254-741-8334.

Step 1 of 3 - Enter your information below then click the "Continue with Registration" button.

NOTE: To fill out the secure online forms you must be using one of the
following browsers or the form will not submit properly. Chrome version 33 and up, Android 5.0-5.0.2 and up, Firefox version 34 and up, IE 11 and up, Opera 17 and up , Safari 7 and up

(required fields are marked with an asterisk)
* First Name:
* Last Name:
* First Name for Nametag:
* Job Title:
* Organization:
* Address 1:
Address 2:
* City:
* State or Province:
* Zip:
* Country:
* Phone Number:	Ext:
Fax:
* Participant's E-mail:

Select the area that best describes your work:

K-12 Postsecondary Adult Education Workforce Development Employer
Other

Also, if in education, choose one of the following:

CTE Faculty Academic Faculty Counselor/Advisor Local/Regional Administrator/Coordinator
State/Federal Administrator/Coordinator Staff Other

PRECONFERENCE WORKSHOPS, Wednesday, October 25
Attendees can attend one full-day workshop or up to two half-day workshops (morning and afternoon).
Lunch is included for attendees of a full-day or two half-day preconference workshops or the Employer Workshop.

Half-Day Preconference Workshops / Tour: 9:00 a.m. to Noon ($125) Select one of the following.....	Rate	$ Amount
How Do Perkins and WIOA Fit into the Career Pathways Puzzle?	$125	$
Integrating and Infusing Comprehensive Soft Skills into the Whole Curriculum	$125	$
Career Development Practices in 2017: Building a Successful Career Pathways System	$125	$
Engaging Employers to Strengthen Career Pathway Programs	$125	$
Cybersecurity: 2020 (8:00 a.m.-Noon)	$125	$
TOUR: Back to the Future! Ranken Technical College (9:00-11:00a.m. Bus boards at 8:30a.m.)	$125	$
I will not be attending a workshop during this time period (Select this to deselect other options in this group)

Half-Day Preconference Workshops / Tour: 1:00-4:00 p.m. ($125)	Rate	$ Amount
Apprenticeships: Pathways to Success	$125	$
Pathways for Returning Offenders and Incarcerated: Successful Program Development	$125	$
Adult Education's Role in Career Pathways	$125	$
Aligning Academics and Employer-Based Opportunities for High School Students CANCELLED	$125	$
Learning Today to LEAD Tomorrow	$125	$
TOUR: Visit the Working / Award Winning AMT Career Pathway Program – A Pathway from A to Z! (Bus will board at 12:30pm) SOLD OUT	$125	$
I will not be attending a workshop during this time period (Select this to deselect other options in this group)

Full-Day Preconference Workshops: Wednesday Oct. 25, 9:00 a.m. - 4:00 p.m. (includes lunch)	Rate	$ Amount
Career Pathways Leadership Certification (CPL) SOLD OUT	$250	$
I will not be attending a workshop during this time period (Select this to deselect other options in this group)

Fees for Main Conference, October 26-27 (See agenda.) (Fee includes NCPN membership)

February Registration Special - Credit Cards only (February 15-28))		$475	$
March Registration Special - Credit Cards Only (March 1-31)		$500	$
Early Bird(deadline 7/20)		$560	$
Preregistration (7/21 through 10/11 at 5pm CDT)		$590	$
Onsite Registration (after10/11 at 5pm CDT)		$620	$


*I plan to attend the Member Lunch: (Friday, Oct. 27, 11:30-12:30)	Yes	No

Spouse (includes exhibit events only)	$60	NA	$
Spouse Name:
* Total Payment:			$

Method of Payment: (Tax ID # 74-2077794) (online registrations MUST be accompanied by credit card payment. If paying by check, registration must be mailed.

(click here for W-9)

*I understand that payment must be completed for this registration to be processed.