Wednesday Registration Only $ $ Thursday Registration Only $ $ Friday Registration Only $ $140.00

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1 UMR-ACUHO CONFERENCE REGISTRATION FORM Required fields indicated with an asterisk (*) REGISTRANT INFORMATION First Name *: Last Name *: Title: Address *: Address: Cell Phone Number where participant can be reached: Registration Type * Personal Gender Pronouns: Member (Log-in Required) n-member Professional Delegate $ $ Student Delegate $ $ Wednesday Registration Only $ $ Thursday Registration Only $ $ Friday Registration Only $ $ Late Registration After October 15, 2018 Member (Log-in Required) n-member Professional Delegate $ $ Student Delegate $ $ Wednesday Registration Only $ $ Thursday Registration Only $ $ Friday Registration Only $ $140.00

2 MEAL SELECTIONS The conference registration fee includes the Wednesday evening banquet, Thursday luncheon, and Friday brunch. Select one option for each meal listed below. Wednesday Dinner * (*All options served with starch and fresh vegetable) Stuffed Chicken Breasts: Chicken breasts stuffed with spinach and artichokes, finished with a chardonnay cream sauce Pork Medallions: Grilled pork tenderloin finished with plum sauce Quinoa Stuffed Zucchini Boat Thursday Lunch * (*All options served with starch and fresh vegetable) Pretzel Encrusted Chicken: Chicken breast encrusted with pretzels and finished with an ale cheddar cheese sauce Steak Medallions: Tender steak medallions with rich wine demi sauce Breaded Eggplant Friday Brunch * Acapulco Buffet: Tortilla bowls, chips, shredded lettuce, diced tomatoes, black beans, jalapenos, black olives, pepper jack cheese, sour cream, avocado ranch and southwest dressings, homemade salsa and warm churros I will not be attending Friday Brunch

3 SPECIAL MEAL ACCOMODATIONS If you have special dietary needs (food allergies, vegan, kosher, etc.) that the above options do not accommodate, please indicate below. The chef will work to accomodate any special needs you may have. Do you have a request for special food accommodations? * If yes, please explain: GENERAL INFORMATION Is this your first UMR-ACUHO Conference? Are you the voting delegate for your institution? * (Most Senior Member Attending the Conference) Are you directly involved in the purchasing process on your campus or likely to work closely with vendors? * SPECIAL ACCOMODATIONS Special accommodations will be provided upon request. All requests for accommodations must be made no later than October 15, Do you have a request for special accommodations? * If yes, please note your request here:

4 PROGRAM MODERATOR Program moderators are integral to the success of the UMR-ACUHO Conference. The role of a moderator is to introduce the program presenters, keep track of time, distribute and collect program evaluations, collect program materials from presenters, and be of assistance for the presenter. Do you want to be a program moderator? * If yes, prior to the conference, you will be contacted by a Program Committee Member via with additional details. Have you ever moderated at a UMR conference in the past? CONFERENCE CONNECTIONS One of the most valuable professional development opportunities at every annual conference is meeting and networking with other professionals in the region. The UMR-ACUHO Membership Involvement Committee encourages all conference attendees to be intentional about initiating these relationships. In an effort to assist attendees in building these relationships, we once again offer the Conference Connections program. Through this program, first-time attendees will be paired with returning conference attendees in order to aid in UMR networking. Returning Conference Attendeess include anyone who has attended at least one UMR conference in the past and had a positive experience. Benefits of participating in this program include: building networks, getting questions answered, gaining conference insight, and eating a FREE LUNCH! Please note that you must be able to attend the Conference Connections Luncheon that will be held on Wednesday, vember Space is limited. If you choose to participate, we will contact you with further information regarding details of connecting.

5 First Time Conference Attendees * I am attending the UMR-ACUHO Conference for the first time and would like to participate in the Conference Connections Program. By clicking yes, I understand that I am required to attend the Conference Connections Luncheon on Wednesday, vember 7, 2018 (all options served with assorted chips). YES and I would like the Asian Chicken Wrap: Grilled marinated chicken, romaine, chow mein, shredded cabbage, carrots, sesame dressing wrapped in a tortilla. YES and I would like the Chop Salad: Spring mix, vegetables, ham and turkey, cheese, croutons. YES and I would like the Asian Vegetarian Wrap: Romaine, chow mein, shredded cabbage, carrots, sesame dressing wrapped in a tortilla. NO, I will not be participating. Returning Conference Attendees * I have attended a UMR-ACUHO Conference in the past and would like to be paired with a first-time attendee in the Conference Connections Program. By clicking yes, I understand that I am required to attend the Conference Connections Luncheon on Wednesday, vember 7, 2018 (all options served with assorted chips). YES and I would like the Asian Chicken Wrap: Grilled marinated chicken, romaine, chow mein, shredded cabbage, carrots, sesame dressing wrapped in a tortilla. YES and I would like the Chop Salad: Spring mix, vegetables, ham and turkey, cheese, croutons. YES and I would like the Asian Vegetarian Wrap: Romaine, chow mein, shredded cabbage, carrots, sesame dressing wrapped in a tortilla. NO, I will not be participating.

6 CASE STUDY COMPETITION UMR-ACUHO and the Professional Development & Training Committee will be hosting the Annual Case Study Competition. This long-standing professional development experience is a great opportunity to work with and learn from someone from another institution to test problem solving and decision-making skills, and to receive feedback from experienced judges. This competition is designed for entry-level professionals who are defined as graduate assistants/graduate student employees and anyone who has not yet completed three years of full-time experience. Due to the limited number of spaces in this year's competition and to encourage learning across institutions, we are pairing all participants with someone from another institution. This year, the Annual Case Study Competition will occur as a pre-conference opportunity. The competition will take place on Wednesday morning between 8:30am-12pm. Participants will receive the Case Study 30 minutes prior to their presentation time on Wednesday morning. This will ensure that the case study process reflects response to critical situations within a limited time frame, as well as limits the time commitment required to participate. Participants can expect to be occupied for approximately 70 minutes, including time to check-in and be introduced to their assigned partner. Instructions will be provided to participants via prior to the competition day. Judges will work in teams of two and will judge two Case Study Group presentations. Judges can expect to be occupied for approximately 90 minutes; including time to check-in, meet your assigned judging partner, and a built-in 10 minute break between presentations. Instructions will be provided to judges via prior to the competition day. Do you wish to participate in the Case Study Competition? * Have you participated in the UMR-ACUHO Case Study Competition before? * Would you be interested in serving as a Case Study Judge? This is reserved for those with five or more years of full-time experience and are currently in a mid or senior level position. * SUBMIT