Rockwood : Registration

Seminar Choice

Event Registration For:

10 / 07 / 2012 - Art of Leadership - Edith Macy Conference Center

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Supply a brief summary of what you hope to learn in this training

List any special needs (dietary, allergies, mobility, etc)

Contact Info

Organization Contact Info

Organization Name

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Organization Website

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Individual Contact Info

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ext

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Position/Title

Please supply a brief description of the work your organization does and your role there

Years working in the social change sector

Tuition

Rockwood trainings are offered on a sliding scale basis. To determine your sliding scale tuition, please answer one of the questions below. (Note: If you are not affiliated with a specific organization, you will have a special program tuition that is not on the sliding scale. for more information.)

Nonprofit organizations:

Please provide your total organizational expenses from the most recent fiscal year

Organizational Expenses Tuition Scale

$10,000,000 and up	4000
$7,000,000 - $9,999,999	3000
$4,000,000 - $6,999,999	2500
$2,000,000 - $3,999,999	2000
$1,000,000 - $1,999,999	1500
$500,000 - $999,999	1000
$0 < $500,000	500

Foundations:

Please provide the current level of your endowment, or your total foundation assets from the most recent fiscal year

Foundation Endowment Tuition Scale

$25,000,000 and up	4000
$10,000,000 - $24,999,999	3500
Up to $9,999,999	3200

Your estimated tuition is $

Lodging

All of our trainings are shared occupancy.

Birthdate

Gender (Select any/all choices with which you identify)

Male

Female

Transgender

Not mentioned above

If you would like us to consider any particular preferences or needs when assigning rooms, please

Prior Training (optional)

Have you had previous leadership training? If so, please list

Online Application

Organizational Expenses Tuition Scale

Foundation Endowment Tuition Scale