NATIONAL EMPLOYMENT

COUNSELING ASSOCIATION

“The Professional Employment Counselor:

An Advocate for Jobseekers and Employers”

THE MOST COMPREHENSIVE EMPLOYMENT DEVELOPMENT WORKSHOP

AND SUMMIT ON WORKFORCE ISSUES FOR 2004

Wednesday, March 31, 2004 and Thursday, April 1, 2004

(immediately prior to the annual ACA Convention)

Hyatt Crown Center Hotel, 2345 McGee Street, Kansas City, MO 64108

816-421-1234

ACA Reduced Convention Room Rate: $125.00

(Call Ambassadors for reservations toll-free at: 1-800-726-1242) )

WORKSHOP REGISTRATION FORM (Submit one form for each individual)

Name___________________________________________________________________ Day Time Phone_______________________

Organization______________________________________________________________ E-Mail_______________________________

Address_______________________________________________________________________________________________________

City _____________________________________State/Prov __________________________Postal Code ________________________

Special Needs_____________________________________________________________________________________________

PLEASE CIRCLE THE AMOUNT YOU ARE SUBMITTING

TWO–DAY WORKSHOP SINGLE-DAY WORKSHOP

Includes: Awards Luncheon, Refreshment Includes: Refreshment Breaks and Exhibits

Breaks and Exhibits Specify Day: ___Wednesday ___Thursday

Before 3-1-04 After Before 3-1-04 After

NECA Member $110 $120 NECA Member $ 65 $ 75

(enter member number below) (enter member number below)

Non-Member $168 $178 Non-Member $123 $133

Send completed form with check (payable to NECA Workshop) to:

Wendy Stubbs, NECA Treasurer, P.O. Box 10, Vermillion, SD 57099; (605) 624-6902; wstubbs@usd.edu

MEMBERSHIP APPLICATION National Employment Counseling Association (NECA)

I would like to join NECA. Please enter my membership in the appropriate category.

I am currently a NECA member. Membership #___________________________

I am a current ACA Member and would like to add NECA ……..…………$ 48

I would like to Join American Counseling Association and NECA ……….$173

I am not an ACA member and would like to Join NECA Only …………...$ 58 (includes $10 ACA Administrative Fee)

If you are not currently a NECA member, please add the appropriate membership fee to your workshop check

at the member rate and save $58 on the NECA Workshop.

Fast Track Training for CDFs for certification on the Working Ahead: Global Career Development Facilitation Instructor Training available on Wednesday March 31, 2004

(separate application required, plus $175 for training manuals—contact kbrawley@mindspring.com)

For Exhibit Registration, contact Kelsey Smith Keller at ksmithke@usd.edu