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Registration
2025 Annual NAKHE Conference
Graduate Student Non-Member Registered by 11/15/2024
$285.00
NAME & EMAIL OF PERSON ATTENDING THIS CONFERENCE
First Name of Attendee
Last Name of Attendee
First & Last Name as You Want on Name Badge
Email
Address
City
State/Province
== choose one ==
-- State --
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MR
MS
MT
NC
ND
NE
NH
NJ
NM
NN
NV
NY
OH
OK
OR
PA
PL
PO
PR
RI
SC
SD
TN
TT
TX
UT
VA
VI
VT
WA
WI
WV
WY
-- Province --
AB
BC
MB
NB
NL
NT
NS
ON
PE
QC
SK
YT
Outside Canada/US
Zip/Postal Code
Country
== choose one ==
United States
Canada
------------------------------
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Phone
Name of Attendee's College/University/Business
Department
Institutional Categories:
Please check the box(es) below that best describe the institution where you are currently working or studying.
Large Public (>20,000 students)
Large Private (>20,000 students)
Small-Midsize Public (<20,000 students)
Small-Midsize Private (<20,000 students)
Community College or Junior College
Tribal College or University
Historically Black College or University (HBCU)
Equity-Oriented Institutions (previously referred to as Minority-Serving Institutions (MSI), these institutions serve historically excluded students through unique missions and day-to-day operations)
Institution outside of the United States
Non-college Business
Yes
No
Are you (or the attendee) a new member of NAKHE?
Is this your (or the attendee's) first time attending a NAKHE annual conference?
Are you (or the attendee) a NAKHE Fellow?
Are you (or the attendee) on the NAKHE Board of Directors?
Please indicate any food allergies or specific dietary requirements.
Dairy-free
Gluten-free
Vegetarian
Vegan
Fish, seafood or shellfish allergy
Peanut or other nut allergy
Other food allergy or specific dietary requirement (Please provide details in the Comments section below.)
NAME & EMAIL OF PERSON COMPLETING THIS FORM
We need this information
only
if you are registering for someone else.
First Name of Person Completing This Form
(Only if different from attendee.)
Last Name of Person Completing This Form
(Only if different from attendee.)
Email of Person Completing This Form
(Only if different from attendee.)
Comments:
Office use only: