MARYLAND COLLEGIATE HONORS COUNCIL
2005 Conference Registration Form
University of Baltimore
Mount Royal Avenue and Maryland Avenue
Baltimore MD 21201
Name:_________________________________________________________________________
Institution:______________________________________________________________________
Address:_______________________________________________________________________
Telephone Number:______________________________________________________________
________Faculty
________Student
________Staff/Administrator
E-mail address__________________________________________________________________
Conference pre-registration fee: ($35 faculty/staff and first student/$25 each additional student)
_______ $35 (faculty/staff)
_______ $35 (first student from institution)
_______ $25 (all other students from institution)
_______ $40 (on-site registration)
Special dietary needs? ___________________________________________________________
Please return this form to:
Dr. Maureen P. Connelly, MCHC Treasurer
Frostburg State University
Honors Program Guild Center
Frostburg, MD 21532
Advance registration is desirable, but not necessary—however we would appreciate it if you would Dr. Connelly know by email that you will be coming, so we can plan for food and parking. She can be reached at mconnelly@frostburg.edu.
The Maryland Collegiate Honors Council is incorporated as a non-profit organization. Federal tax I.D. number: 52-1707346.
Call for Poster Presentations at the MCHC Conference