Virginias Collegiate Honors Council

2008 Annual Spring Conference Registration Form

Friday, April 11 – Saturday, April 12, 2008

Hampton University ~ Hampton, Virginia

Individual Participant Information

Name: _______________________________________________________________

Title: __________________________________ Faculty/Advisor ____ Student ____

School Affiliation: ______________________________________________________

School Address: ________________________________________________________

E-mail: _______________________________________________________________

Residence Mailing Address: ______________________________________________

______________________________________________

Phone (Work): ________________ Home:_______________ Cell: _______________

Special Accommodations/Needs (please be specific): _______________________________________________________________________

Registration Fee

The conference registration fee for faculty and advisors is $110. The conference registration fee for students is $80. The fee includes museum reception, continental breakfast, lunch, and a VCHC portfolio. Please make check payable to VCHC: Hampton University Honors College and mail to the following address no later than Friday, March 14, 2008

Dr. Jarris L. Taylor, Jr.

Honors College

P.O. Box 6174

Hampton, VA 23668