On-Campus Workshop Request

Thank you for your interest in an on-campus workshop by SAIS President Dr. Brett Jacobsen. Please note that the governance workshops include the SAIS Board Governance Survey (a $150 value).

The fee will be paid via credit card at the conclusion of this form.

Questions: Carole Weems carole@sais.org or (678) 255-8930

SCHOOL INFO

Please select from the following options:
Not sure if your school is a member of SAIS? Check the member roster here. *

SAIS Member School ($1,200 plus lodging and travel)

Non-Member School ($1,400 plus lodging and travel)

School Name *

School Website *

POINT OF CONTACT

First Name *

Last Name *

Position/Title *

Email *

Direct Phone (xxx-xxx-xxxx) *

ON-CAMPUS WORKSHOP FEE

The SCHOOL is responsible for providing the following items:

Food and drinks for participants as needed
Meeting space
Screen, LCD projector, and microphone if needed based on size of room/audience
Wifi
Payment of fee
Reimbursement of lodging and travel

Please indicate below that you understand and agree to these terms.

School agrees to provide wifi. *

Agree

School agrees to provide LCD projector, screen, and microphone (if needed based on room/audience size) *

Agree

School agrees to $1,200 fee plus cost of lodging and travel. *

On-Campus Fee ($1,200)

School agrees to $1,400 fee plus cost of lodging and travel. *

On-Campus Fee ($1,400)

WORKSHOP DETAILS

Desired workshop length. *

Desired workshop length if 'other'. *

Workshop Location - School? Hotel? Other? Please list name of location, building, room, etc. (if known). *

Street Address *

City *

State *

Please suggest three dates below and indicate preferred start time for the session. While scheduling priortiy will be given to SAIS member schools, we will do our best to schedule your preferred date and time.

Date Request #1 * +

Date Request #2 * +

Date Request #3 * +

Preferred Start Time (include AM/PM) *

Time Zone *

# people expected *

Nearby Hotels (if applicable) - please include website and/or street address *

Questions or Comments?