Registration Form: Unlocking the Human Potential To Learn

Unlocking the Human Potential to Learn
An International Conference on Learning Skills Enhancement

August 18-25, 2001
Winnipeg, Manitoba, Canada

Conference at Royal Crown Conference Centre
Workshops at Hotel Fort Garry

If paying by cheque or money order (Canadian or U.S. funds only), print and mail the completed form with a cheque or money order (payable to UNEVOC CONFERENCE) to: FRONTLINE Associates, Conference Planners, 676 Borebank Street, Winnipeg, MB Canada R3N 1G2
If paying by credit card (Visa or Mastercard), print and fax the completed form to (204) 474-7696 OR register online. Card number, expiration date, card holder name, and an authorized signature (if faxing) must be provided. Proof of full time student status (if applicable) should be faxed to (204) 474-7696.

REGISTRATION FORM

Name: Position:
Organisation/Institution:
Street Address Line 1:
Street Address Line 2:
City/Prov/State/Country:
Phone: Fax:
Email:



Please make your selection below

August 18-20 Conference Registration Only Canadian Funds U.S. Funds

Early Bird (sent prior to July 18, 2001)
$300 $225
Early Bird Full Time Student
Proof of full time student status must accompany registration.
$100 $75
Additional Late Fee (sent after July 18, 2001) $50 $38

August 21-25 Workshop Registration Only
Please indicate which workshop you wish to attend.
Delegates can attend only one workshop.
Canadian Funds U.S. Funds

Learning Potential Assessment Device (LPAD)
5 days - August 21-25
$375 $275
Instrumental Enrichment (IE)
5 days - August 21-25
$375 $275
Mediated Learning Experience:
Introductory Workshop

2 days - August 21-22
$150 $120
Quels procédés pédagogiques favorisent lle
développement optimal des compétences?

1 days - August 21
$75 $60
Additional Late Fee (sent after July 18, 2001) $50 $38

August 18-25 Full Registration Package
Conference and LPAD or IE 5-Day Workshop
Canadian Funds U.S. Funds

Early Bird (sent prior to July 18, 2001)
Please indicate which workshop you wish to attend.
Delegates can attend only one workshop.
LPAD Workshop IE Workshop
$600* $450*
Additional Late Fee (sent after July 18, 2001) $50 $38

*Saving of $75 CDN / $50 U.S. if purchasing full conference
and 5-day workshop package


TOTAL enclosed


$ CDN


$ U.S.

PAYMENT METHOD


Visa Mastercard

Card #

Expiration Date:

Card Holder Name:

Authorized Signature: ___________________

For credit card payment, print and fax completed registration form to (204) 474-7696 or register online. Card number, expiration date, card holder name, and an authorized signature (if faxing) must be provided. Proof of full time student status (if applicable) should be faxed to (204) 474-7696.

Cheque or Money Order

Please make cheque or money order (Canadian or U.S. funds only) payable to UNEVOC Conference and mail, with this completed registration form, to:
FRONTLINE Associates
Conference Planners
676 Borebank Street
Winnipeg, MB, Canada
R3N 1G2

Confirmation will be sent upon receipt of completed registration form and payment. No refunds after August 4, 2001. Cancellations prior to August 4 will be subject to a $30 CDN administrative fee.
Conference Hotel
There are a limited number of rooms available at the historic Hotel Fort Garry, 222 Broadway, adjacent to the Royal Crown Conference Centre. The Hotel Fort Garry is offering special room rates of $119 CDN/night (single or double). Phone (204)942-8251 or 1-800-665-8088. Email: ftgarry@fortgarryhotel.com. Reserve before July 18, 2001 to ensure rates and availability. Please refer to GROUP CODE "SKILL" when making your reservation.

Other area hotels:
Charterhouse Hotel, 330 York at Hargrave, 1-800-782-0175
Place Louis Riel All-Suite Hotel, 190 Smith at St. Mary, 1-800-665-0569


We will do our best to accomodate dietary or other special requirements. Please specify:


Register Today! EARLY BIRD DEADLINE July 18, 2001