NAFSA 2018 Annual Conference Program - 25

SPECIAL ANNUAL CONFERENCE MEMBERSHIP OFFER
APPLICATION 2018-2019

Join NAFSA as a NEW member for ONLY $159 during the Annual Conference week and save $300
on your first year of membership! You will also receive a $25 Savings Certificate to use on-site at
the NAFSA Conference Bookstore . This offer expires June 30, 2018

Please check ONE

Fax (credit card payments only) or mail completed form with
appropriate payment to: NAFSA Membership Department,
PO Box 79159, Baltimore, MD 21279-0159 n Fax 1.202.737.3657

(For individual membership please identify your workplace)

For credit card security, NAFSA highly recommends you do not send forms with credit card information via e-mail.

1 Annual Membership Type
Individual Member .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $459 $159
	
	
	
o
o
o

o An Academic Institution
o An International Education Organization
o Other: ___________________________________
Retired Member .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $153*
Student Member  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $153*
Community Volunteer  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $153*

*Verification of status required. To apply for this membership type, please
contact membership@nafsa.org.

MEMBERSHIP TERM ENDS JUNE 30, 2019
Please type or clearly print your information below.
NAME

TITLE/OFFICE

2 Primary interest:
Check ONLY one

o
o
o
o
o

Education Abroad
International Education Leadership
International Enrollment Management
International Student and Scholar Services
Teaching, Learning, and Scholarship

3 Scope of responsibility:
Check ONE that applies

o
o
o
o
o

I lead the entire organization or institution
I lead two or more departments or divisions
I lead one department or division
I am a one-person office
I do not currently lead a department or division

4 Number of people I directly supervise
_____________

5 Professional position most closely resembles
currentĀ responsibilities:

INSTITUTION/AGENCY/ORGANIZATION

MAILING ADDRESS

MAILING ADDRESS

CITY

STATE/PROVINCE

TELEPHONE

Administrative Professional
CEO
Chancellor
Consultant
Dean
Associate Dean
Executive Director
President
Vice President
Principal
Provost
Associate Provost
Rector
Retiree
Student
Service Provider
Student Adviser
Other: ____________________________________________

6 I am a senior international officer
o Yes
o No

7 Professional focus

18-071

Check ONE that applies

o Direct Service: Provide service directly to students and scholars
o Management: Oversee the operation of a unit related to
international education
o Strategy/Policy: Establish, update, and approve the policies and
strategy for achieving the goals and mission of international
education within an institution
o Academic: Teaching and learning; curriculum development
o Other

COUNTRY

FAX

EMAIL

Dues Payment:

Please return application with the appropriate payment. Purchase orders
areĀ not accepted.

Check ONE that applies

o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o

ZIP/POSTAL CODE

Membership Dues

$ ___________________

Airmail Fee: $70*

$ ___________________

Initial Processing Fee

$20 .00
$ ___________________

TOTAL

$ ___________________

*Charged to members based outside the U.S., Mexico, or Canada without APO/AFO address

Method of Payment

o Check enclosed payable to NAFSA. Check #____________
(Checks must be in U.S. dollars drawn on a U.S. bank)
o MasterCard

o Visa

CARD ACCOUNT #

o American Express

o Discover

SECURITY CODE

EXPIRATION DATE

CARDHOLDER NAME, PRINTED

SIGNATURE

NAFSA makes its mailing list available to commercial organizations and professional
associations whose products and services may be of interest to NAFSA members.
Please check below if you do not wish to receive any of these or other mailings.
Please don't send (check all that apply):
o Commercial mailings
o Commercial e-mail promotions
o NAFSA.news (NAFSA's weekly e-newsletter)
NAFSA invites the membership of individuals who do not practice discrimination on the basis
of race, religion, political persuasion, national origin, immigration status, ethnicity, disability,
gender, age, marital status, sexual identity, or sexual orientation. Application for membership
signifies acceptance of the NAFSA Statement of Ethical Principles. The NAFSA Statement of
Ethical Principles may be viewed at www.nafsa.org/ethics.

NAFSA 2018 ANNUAL CONFERENCE & EXPO

25

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http://www.nafsa.org/ethics

Table of Contents for the Digital Edition of NAFSA 2018 Annual Conference Program

Table Of Contents
NAFSA 2018 Annual Conference Program - Cover1
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NAFSA 2018 Annual Conference Program - Cover3
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