22nd SLI Registration 22nd Annual NASAP SLI Registration If you are human, leave this field blank. School Information University or College Name: School Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code: Advisor Information Advisor's Name: Advisor's Position: Advisor's Contact Number: Advisor's Email Address: Participant Information Provide the information for each participant, including yourself if applicable. To add an additional participant, click on the Add Participant button below. Participant's Name: Cell/Contact Number: Participant's Email Address: Emergency Contact Number: Student or Advisor: Student Advisor Advisor's Gender: Male Female for rooming purpose Student's Gender: Male Female for rooming purpose Student's Classification: Freshman Sophomore Junior Senior Advisor Position: Anticipated Graduation Date: Example: Spring 2018 Major: Career Goal: Present Organization: Office Position(s): Fraternity/Sorority Affiliation: Fraternity/Sorority Intake Date: Please select your Tee-shirt Size: Small Medium Large XL XXL XXXL NASAP - SLI will provide a free Tee-shirt for every participant Please select your dietary needs: Regular Vegan Vegetarian Meals included in the registration cost - Meals are not included for evening activities off campus. Fees For This Participant: $ Payments must be postmarked by Monday, May 14, 2018 A Registration Form is required from each individual attending. If you wish to make a reservation now, but, don't know which individuals will be attending, write "to be named" on the registration page and notify us later of the correct name before Wednesday, May 16, 2018. Add Participant Remove Participant Please Check The Box (so we know that you're real) reCAPTCHA Payment Click on Proceed to Payment to complete your submission. Payments can be in the form of Check, PayPal and Money Orders only. No refunds will be given after Friday, April 27, 2018. Mail All Check or Money Orders to: NASAP Claflin University ATTN: Ms. Denver Malcom Key - NASAP Treasurer 400 Magnolia Street Orangeburg, SC 29115 Grand Total: $ Payment Method: PayPal Check Cancellation Policy: Full refunds will be given for cancellations received before Friday, April 27, 2018. Refund request for cancellations received after this date will not be honored. Persons who sign up for the institute, but, do not attend will be charged the full registration price. Substitutions or name changes should be made no later than one (1) week before the start of the institute. All cancellations must be received in writing to NASAP-SLI.