2024 Leadership Conference Registration View Registered Attendees "(Required)" indicates required fields Attendee InformationName(Required) Dr.Mrs.Mr.Ms.MissMx.Rev.Prof. Prefix First Last Suffix Email(Required) Enter Email Confirm Email PhoneSecondary Email I would like an additional confirmation The Attendee Email above will be the primary email used for confirmation. Select the optinal Additional Confirmation below if you are registering someone else, or would like to send someone else a confirmation of this registration.Additional Confirmation Email(Required) Enter Email Confirm Email Registration DetailsRegistration Type(Required)Choose Registration TypeFull RegistrationBanquet OnlyGuest Full RegistrationPresenterSee Conference Info & CostGroup Selection(Required)Choose your GroupTCSG / WFD System OfficeTCSG State BoardTCSG Foundation BoardState Workforce Development BoardTCSG CollegesTCDATCFATCSG SelectionsTCSG Staff option:(Required)Choose your optionState StaffOfficial TCSG job title:(Required)TCSG State Board SelectionsCongressional District:(Required)Choose Board Member's District1st Congressional District2nd Congressional District3rd Congressional District4th Congressional District5th Congressional District6th Congressional District7th Congressional District8th Congressional District9th Congressional District10th Congressional District11th Congressional District12th Congressional District13th Congressional District14th Congressional DistrictMember at LargeState Workforce Development Board SelectionsWorkforce Regions:(Required)Choose your Region1 – Northwest2 – GA Mountains3 – City of Atlanta4 – Cobb5 – DeKalb6 – Fulton7 – Atlanta Regional8 – Three Rivers9 – Northeast GA10 – Macon – Bibb11 – Middle GA12 – Central Savannah River Area13 – East Central GA14 – Lower Chattahoochee15 – Middle Flint16 – Heart of GA17 – Southwest GA18 – Southern GA19 – CoastalTCSG College SelectionsYour College:(Required)Choose your CollegeAlbany Technical CollegeAthens Technical CollegeAtlanta Technical CollegeAugusta Technical CollegeCentral Georgia Technical CollegeChattahoochee Technical CollegeCoastal Pines Technical CollegeColumbus Technical CollegeGeorgia Northwestern Technical CollegeGeorgia Piedmont Technical CollegeGwinnett Technical CollegeLanier Technical CollegeNorth Georgia Technical CollegeOconee Fall Line Technical CollegeOgeechee Technical CollegeSavannah Technical CollegeSouth Georgia Technical CollegeSoutheastern Technical CollegeSouthern Crescent Technical CollegeSouthern Regional Technical CollegeWest Georgia Technical CollegeWiregrass Technical CollegeCollege Staff Option:(Required)Choose your optionPresidentCollege StaffOfficial College job title:(Required)TCDA SelectionsTCDA Local College:(Required)Choose your CollegeAlbany Technical CollegeAthens Technical CollegeAtlanta Technical CollegeAugusta Technical CollegeCentral Georgia Technical CollegeChattahoochee Technical CollegeCoastal Pines Technical CollegeColumbus Technical CollegeGeorgia Northwestern Technical CollegeGeorgia Piedmont Technical CollegeGwinnett Technical CollegeLanier Technical CollegeNorth Georgia Technical CollegeOconee Fall Line Technical CollegeOgeechee Technical CollegeSavannah Technical CollegeSouth Georgia Technical CollegeSoutheastern Technical CollegeSouthern Crescent Technical CollegeSouthern Regional Technical CollegeWest Georgia Technical CollegeWiregrass Technical CollegeTCFA SelectionsTCFA Local College:(Required)Choose your CollegeAlbany Technical CollegeAthens Technical CollegeAtlanta Technical CollegeAugusta Technical CollegeCentral Georgia Technical CollegeChattahoochee Technical CollegeCoastal Pines Technical CollegeColumbus Technical CollegeGeorgia Northwestern Technical CollegeGeorgia Piedmont Technical CollegeGwinnett Technical CollegeLanier Technical CollegeNorth Georgia Technical CollegeOconee Fall Line Technical CollegeOgeechee Technical CollegeSavannah Technical CollegeSouth Georgia Technical CollegeSoutheastern Technical CollegeSouthern Crescent Technical CollegeSouthern Regional Technical CollegeWest Georgia Technical CollegeWiregrass Technical CollegeAdditional Guest InformationGuest ofChoose guest of– Fill Out Other Fields –Must be a guest of someone as Full Registration. Not required, but helpful to associate payment.Presenter SelectionsPresenter Company Name(Required)Official TitlePresenting for:(Required) General Sessions TCDA Workshops TCFA Workshops TCDA Workshops OptionTCDA Workshops For non-TCDA groups to attend Be sure workshops do not interfere with your primary obligations I want to attend TCDA workshops Monday Morning WorkshopsCommunity Advocacy(Required) Attending Not Attending 8 am – 9 am* Required for TCDA CertificationNew Board Governance(Required) Attending Not Attending 9 am – 10:30 am* Required for TCDA CertificationBuilding Relationships with Elected Officials(Required) Attending Not Attending 10:40 am – 11:30 am* Required for TCDA Certification Not available for Banquet Only registrations. Register as Full Registration (if an employee), or Guest Full Registration (if a non-employee) to attend sessions and workshops.Monday Afternoon WorkshopsTravel to Savannah Tech(Required) Attending Not Attending 11:45 am – 12:15 pmCooking with the Chef(Required) Attending Not Attending 12:15 pm – 2:30 pm Not available for Banquet Only registrations. Register as Full Registration (if an employee), or Guest Full Registration (if a non-employee) to attend sessions and workshops.Tuesday Morning WorkshopsLeadership Session with Tech Talks(Required) Attending Not Attending 9 am – 11 am Not available for Banquet Only registrations. Register as Full Registration (if an employee), or Guest Full Registration (if a non-employee) to attend sessions and workshops.Tuesday Afternoon WorkshopsTech Talks(Required) Attending Not Attending 1:30 pm – 3 pmFinance and Budget(Required) Attending Not Attending 3:30 pm – 4:30 pm* Required for TCDA Certification Not available for Banquet Only registrations. Register as Full Registration (if an employee), or Guest Full Registration (if a non-employee) to attend sessions and workshops.CheckoutPayment Method(Required)Choose payment methodPay by CheckPay by Credit CardI have a Discount CodeMake check payable to:Technical College System of GeorgiaMemo: 2024 Leadership Conference 06939Mail to:1800 Century Place NE, Suite 400 Atlanta, GA 30345Attn: Dawn Schmeelk(include Order ID PLUS Activity Account ON the check. A copy of the invoice/receipt/confirmation is helpful)State Vendor Number: 12093Coupon(Required) Payment Details(Required) American ExpressDiscoverMasterCardVisaJCBSupported Credit Cards: American Express, Discover, MasterCard, Visa, JCB Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Total Unique IDPhoneThis field is for validation purposes and should be left unchanged.
