Registration Form

First Name:

Last Name:

Title: 

Institution:

Address 1:

Address 2:

City:   State:   Zip: 

Country (if other than U.S.)

Phone:

Email:   

Briefly answer the following two questions:

1. In light of your professional responsibilities, briefly describe the issues related to your institution's Catholic identity, culture, and mission that you consider important and critical.

2. Briefly explain why you would like to attend the Institute in terms of your current work and career aspirations.

In addition to this information, please send a copy of your curriculum vitae and (if you are not a president) a brief endorsement from either your president or immediate supervisor. These materials can be sent to: Institute for Administrators in Catholic Higher Education, Lynch School of Education - Boston College, 194 Beacon St., Chestnut Hill, MA 02467 or fax to: 617.552.0579.