Great Lakes Academic Lab Management Conference Registration
Please fill out this form and second optional page, print and return with registration payment to be received before June 10, 2004.

Return to:

Eastern Illinois University
Labman Conference
School of Continuing Education
Center for Continuing Professional Development
600 Lincoln Avenue
		Charleston, IL 61920-3099
______________________________
Name:

Institution: 

Institution Address:


Work Phone:

Email Address:

**May we publish this? 

Home Address:


Home Phone:

Registration Fee: $90 Early Bird (ends May 31)     $95 Late registration

Stevenson Tower Housing, details at
http://www.eiu.edu/~labman/housing.html
Single occupancy $22.50     Double occupancy $15
(Fees shown are per night. Check in begins 4pm, June 27.)

Nights you plan to stay   Sunday night   Monday night    Both

Payment method:
Credit Card          Purchase Order        Check
 (Make Checks Payable to Eastern Illinois University)

Purchase Order No.:

Credit Card Type:
Master Card        Visa            Discover

Card Number:

Exp. Date:

Name on Card:

Signature

Please estimate your arrival time.

How did you hear about this conference?


** Email address and work contact information will be released with conference information packet given only to attendees, conference vendors, and next year's conference organizers.
Breakout Group Information

To make the most out of the breakout groups, please take the time to complete this section regarding your interests, the areas in which you consider yourself to be particularly skilled and whether you are interested in moderating an informal discussion about the subject.  As we get closer to the dates of the conference we will trim this list down to the more popular topics and contact individuals to have expressed interest in moderating the discussions.

Topic:		Is this Interesting?		Consider yourself an Expert?	Interested in moderating a discussion?
Thin Client

Macintosh administration

Linux/Unix administration

Windows administration

Workstation security

Human resource management

Printing management

Network administration

Distance learning support

Web-based solutions

Adaptive technologies

Integration of new technologies 
in the classroom

Software license administration

Budget administration

Education, training and documentation

Hardware security

Computer lab construction