NACWAA/HERS INSTITUTE FOR ADMINISTRATIVE ADVANCEMENT
 
Online registration form

This annual week-long intensive management training program is designed for coaches and administrators in intercollegiate athletics administration. The curriculum prepares participants to work with issues currently facing intercollegiate athletics administrators with emphasis on management skills and professional development. Only 40 participants will be selected to participate at each of two sites. Best efforts will be made to honor each candidate’s first choice.

Cost = $2200.00 includes tuition, materials, housing and meals. It is expected that each institution and conference office will assist with a participant’s funding.

A $50 non-refundable application fee must accompany this application, which includes a self-descriptive essay of no more than one-page in length, and must be received by February 21, 2008.

Fields marked with an "*" are required fields. If you are having trouble submitting your form, please be aware that when the form is returned the drop down boxes are reset and you must re-fill in your information. Also please look to the grant section of the form. (Will you come without a grant) Please be sure to select Yes or No.

Personal Information:
First Name*:
Last Name*:

Home Address*:
H City*:
H State*:
H Zip*:
H Phone*:
Cell Phone*:
Date of birth (mm-dd-yyyy)*:
Ethnicity*:
Emergency Contact name and number*:
Please print your name as you would like it to appear on your badge.*:

Professional Information:

Title/Position*:
Institution*:
Conference*:
Type of Institution*:
Type of Institution*:
Institution address*:
Address (line 2):
City*:
State*:
Zip*:
Office phone*:
Email address*:
Date appointed to position*:
Name and title of person to whom you report*:
Primary Responsibilities (choose as many as apply)

SWA AD

Sr. Assoc. Asst. Dir.

Compliance Business Affairs

Life Skills Marketing

Promotions Sports Info./Media

Coaching Sports Medicine

SAAC Other

 

 

Briefly describe your responsibilities*:

Education: (List highest degree first)
 
College/University*:
College degrees and dates*:
Fieldl*:
Dates*:
College/University (2)
Degree (2)
Field (2)
Date (2)
College/University (3)
Degree (3)
Field (3)
Date (3)

Professional History:

Title*:
Institution*:
Dates*:
Full or Part Time*:
Title
Institution
Dates
Full or Part Time
Title
Institution (3)

Dates (3)
Full or Part time (3)
   

Professional Activity:

Associations/Organizations
Professional committees and boards on which you have actively served and/ or held office
Awards/Honors
Interests and activities other than professional (Civic, Community, Recreational)

Funding:
Institution
Conference
Self
Other Source
If you wish to be considered for the Division III Grant please indicate the amount
If you wish to be considered for other grants if they become available please indicate the amount you will need
I plan to attend with or without a grant*:
Self-descriptive essay*: (1) identify your immediate professional objectives, (2) identify what you consider to be your own strengths, (3) identify the challenges, if any, you are currently facing, (4) describe the path you would like your career to take, including a specific projection of where you see yourself, or would like to see yourself, in five year's time, and (5) outline ways in which you think attendance at the Institute will help you achieve your objectives.
Please indicate your Institute date preference. First choice cannot be guaranteed.
Payment of $50 to hold your spot for the institute
Credit Card Number
Expiration Date
Security Code
Purchase Order Number