The Ohio State UniversityOffice of Diversity and Inclusion

23rd Annual National Conference on Diversity, Race & Learning (NCDRL)
"Transcendence: Overcoming the Past & Embracing Our Diverse Futures"

 

Pre-Conference Diversity Training Sessions
Hale Hall
Monday, May 1, 2017  <>  9:30 am - 5:00 pm

Pre-Conference Training Registration:  $100 (increases to $125 after April 1, 2017)

 

Full NCDRL Sessions
Fawcett Conference Center
Tuesday, May 2, 2017
8:00 am - 4:00 pm


REGISTRATION

Registration Fee Schedule
Early Bird Registration* (on or before April 1, 2017)
$160 per person  <>  $40 per student**

Late Registration (after April 1, 2017 - accepted until date of Conference)
$185 per person  <>  $50 per student**

ALL Refunds: Must be requested in writing to taylor.972@osu.edu  (no later than April 1, 2017)
Forms of Payment Accepted: OSU eRequests, Credit Cards***, Checks, Purchase Orders & Cash

* Early Registration Honored on...
...Online Registrations completed on or before April 1, 2017
...Payments postmarked no later than April 1, 2017
** Must be a current student from any institution and provide student identification
*** Visa, MasterCard, American Express, & Discover

[*] = Required Fields Print
Primary Registrant
 
  Registrant
 * Please select one of the below.   
  Pre-Conference Diversity Training Only
  Main Conference Only
  Both Pre-Conference Diversity Training & Main Conference
 
 *Faculty/StaffStudentAdministratorOther   
 Dr.Mr.Mrs.Ms. 
 * First Name
  
* Last Name
  
 * Title
  
 * Institution/Company/Organization  (please do not use abbreviations)
  
 * Street address
  
 
 * City
  
* State
  
* ZIP Code
  
 * Telephone number:    (xxx-xxx-xxxx)
 Fax number:   (xxx-xxx-xxxx)
 * Email Address
  
 
Additional Registrant(s)
 
 For each additional registrant, please check the box next to “Registrant” and complete all the fields under it.
 
Registrant
  
 * Please select one of the below.   
  Pre-Conference Diversity Training Only
  Main Conference Only
  Both Pre-Conference Diversity Training & Main Conference
  
 *Faculty/StaffStudentAdministratorOther  
 Dr.Mr.Mrs.Ms. 
 * First Name
  
* Last Name
  
 * Title
  
 * Institution/Company/Organization
  
 * Telephone number:    (xxx-xxx-xxxx)
 * Email Address
  
 
 
 
Registrant
  
 * Please select one of the below.   
  Pre-Conference Diversity Training Only
  Main Conference Only
  Both Pre-Conference Diversity Training & Main Conference
  
 *Faculty/StaffStudentAdministratorOther  
 Dr.Mr.Mrs.Ms. 
 * First Name
  
* Last Name
  
 * Title
  
 * Institution/Company/Organization
  
 * Telephone number:    (xxx-xxx-xxxx)
 * Email Address
  
 
 
Add Registrant
 
Payment Information
 
  CashMust be physically delivered to the address listed at the end of this form within three (3) business days, unless other arrangements have been agreed upon.
 
  CheckName on Check:
Must be US mailed to the address listed at the bottom of this form.
Check #:
 
  Credit CardPlease select and follow one of the options below, if you desire to pay using a credit card.
   Option 1:Call 614-292-1417 or 614-292-8156 with your credit card information within 72 hours of submitting this online registration.
   Option 2:Request a call from us within 72 hours of online registration submission to the following number:
   Option 3:Click here to download a printable version of the registration and US mail it the address listed at the bottom of this form including your credit card information.
   Option 4:Pay with your credit card online. You will be directed to the online payment system after you submit your registration.
 
  eRequesteRequest #:
OSU registrants can email the eRequest to either taylor.972@osu.edu and/or brown.2993@osu.edu or send it via FAX to 614-292-7889 or mail the original.
 
 
  Purchase OrderPO #:
Please email the approved PO to either taylor.972@osu.edu and/or brown.2993@osu.edu or send it via FAX to 614-292-7889 or mail the original to the address below.
 
 
 Total Registration Fee: $ .00
 
 
Mail Registration Form & Fee to: Or Fax form to:
Mr. Colby A. Taylor 614-292-7889
Office of Diversity and Inclusion
The Ohio State University
Attn: NCDRL Direct Phones:
154 W 12th Avenue 614-292-1417 or 614-292-8156
Hale Hall
Columbus, Ohio  43210-1230