Heart of Higher Education 2024 Registration

Program Selection

Which program would you like to register for?*(Required)

Your Personal Information

Email*(Required)

Phone*(Required)

What questions or wonderings do you hope get addressed in the gathering?

Special Accommodations

If you are in need of any special accommodations to assist with your experience during the program please describe those below.

Demographic Information

While not required, we invite and encourage you to share any additional demographic information you would like to about how you identify. We strive to be inclusive of everyone so they can feel welcome and protected while disclosing their information. By collecting this information, we’re better to able to track the diversity of our global community and follow up with you about specific ways to engage with various resources and communities of practice. All fields are optional, and the information you choose to provide will not be shared beyond the program leadership team and the CCR staff.

Gender: Self-Identify

Pronouns

Race and Ethnicity: Self-Identify

Sexual Orientation: Self-Identify

Spiritual and Religious Affiliation: Self-Identify

Spoken Languages

Please list below any languages that you speak fluently.

Is there any additional information you'd like to share about your identity?

Vocation or Profession

While not required, we invite you to provide this information to help us keep track of the professional backgrounds represented in the work that we do, as well as gain a better understanding of who is participating in the program. This information also helps us recommend specific interest groups, programs, resources, or learning communities that you might find helpful in the future. We welcome people of all vocations: those still seeking a vocation, those who have left behind a vocation, and those in transition.

Professional Role / Vocation

Employer / Institution

Sectors and Focus Areas

We invite you to check any of the options below based on your personal and/or professional experiences and interests. Again, this information helps us provide meaningful information for you about upcoming programs, resources, and points of connection. Please feel free to check any that you’re currently affiliated with or that deeply interest you.

Sectors and Focus Areas: Other

Any Additional Info

Is there anything else you'd like to share with us?

Please use the space below to provide any additional information you think we should know.

Payment Information

The Standard Registration rate is $210.

We have also included a Group Rate option of $150 for those who will be registering alongside at least two of their colleagues at the same institution. If you’re registering as part of a group, each individual will need to complete their own individual registration. Simply choose the Group Rate option and then enter the names of the colleagues who are registering as part of your group.

We are offering scholarships up to $100 on a rolling, “first-come first-considered” basis to help cover the cost of the program for those in need. If you are in need of a scholarship you will be asked to pay a $50 deposit at this time to hold your spot, and then submit a separate scholarship application, which you will receive a link to in your registration confirmation email. We have a limited amount of scholarship funds that we’re able to award, so we encourage you to apply early. Scholarship applications are due May 10, 2024.

If you are experiencing financial circumstances in which none of these options meet your needs, please email heartof@couragerenewal.org explaining your situation and we will follow up with you individually.

Please describe the payment arrangement for which you received approval and include the name of the staff person who approved your request.(Required)

Please include the first and last names of the colleagues you're registering with.(Required)

The group rate applies for those who are registering in groups of three or more with colleagues from the same institution. Each person in your group will need to complete their own individual registration.

Enter amount to donate(Required)

Program Registration Fee – Early Bird Rate

Price:

Program Registration Fee – Standard Rate

Price:

Program Registration Fee – Group Rate

Price:

Program Registration Fee – Scholarship Deposit

Price:

Donation(Required)

Price: $0.00

Donation(Required)

Price: $0.00

Transaction fee

Price: $0.00

Total Payment

Credit Card(Required)

Card Details

Cardholder Name

Cancellation Policy: Cancellations must be received in writing at heartof@couragerenewal.org 30 days before the event is scheduled to begin and are subject to a $25 administrative fee. Between 30 days and 14 days prior to the start date you will receive a 50% refund for your registration. Refunds will not be granted within 2 weeks of the program start date. Extraordinary circumstances will be considered on a case-by-case basis. All refund requests must be made by you, the registrant.

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Register for the Heart of Higher Education 2024: Moving Toward Enough

Program Selection

Your Personal Information

Demographic Information

Vocation or Profession

Sectors and Focus Areas

Any Additional Info

Payment Information