R E G I S T R A T I O N    F O R M

Arizona Association of Chicanos In Higher Education

 A A C H E

2005 Annual Conference:

Immigration and Education:

 Political and Policy Implications

Friday, November 18, 2005, 9:00 a.m. – 5:00 p.m.

Arizona State University at the West Campus

CLCC 110

NAME:  Ms., Mr., Mrs., Miss, Dr.__________________________________________________

                       (Circle one.)

ADDRESS:   ___________________________________________________________________

                          Number and Street

                     ___________________________________________________________________

                        City                              State                                         Zip Code

                     ___________________________________________________________________

                        Phone Number                                                  E-mail

INSTITUTION:   _______________________________________________________________

AACHE Member?   Yes  _____    No  _____   Send Membership Information  ______________

LUNCH PREFERENCE:   Chicken Plate:       _______________________

                                         Vegetarian Plate:  _______________________

REGISTRATION FEE:    $ 75.00.  A number of scholarships available for those in need.

                                          $ 25.00  Students

            Deadline:   Thursday, November 10, 2005  (ASU Food Services Request)

            Scholarship Desired: Yes ______  Student’s  Institution:  _________________________

Make Check Payable to AACHE.  Send Your Registration Form and Fee to: Dr. C. Alejandra Elenes, Chair AACHE Conference Committee, Women’s Studies Department, Arizona State University at the West Campus, 4701 W. Thunderbird Rd., PO Box 37100, Phoenix, AZ 85069-7100. Questions? Please e-mail Dr. Elenes: Elenes@asu.edu.

AACHE is a non-profit organization.

Donations accepted.