November 1-3, 2006

 

HSLI Annual Conference Registration

______________________________________________________________________________

      Complete one form per registrant

 

 

 

 

 

First Name:______________________ Last Name:______________________________

 

Institution:_______________________________Library:_________________________

 

Address:___________________________City/State/Zip:_________________________

 

E-mail:__________________________________ Phone #:________________________

 

      Fees:  (Full Conference fee includes: Meeting registration, breakfast & lunch on Thursday & Friday,

                        Nancy’s Reception and CE courses)

 

      HSLI Member     $150 ___________   (3 days)

      Nonmember       $175 ___________   (3 days)

      Students              $85 ___________   (3 days)

      Thursday Only  $125 ___________   (includes Thur. meals, CE classes & Nancy’s Reception

      Friday Only          $75 ___________    (includes Fri. meals, Keynote Address & Business meeting)

      Nancy’s Reception guest   $45 ___________ (for additional guest only)

      Late Fee (additional)           $25 ___________ (after October 1st)

 

                                       _______________ Total Amount Enclosed 

 

  ______ Attending Individual Consortium meeting Wednesday 1-3

               from which consortium?_____________________

 

  ______ Check here if you plan to come to the Wednesday Future of Consortia

               meeting 3:30-5.

 

  To register for continuing education courses, check the appropriate lines.

       See continuing education descriptions on the Conference website at http://hsli.org/Conference/

 

      _________ Creating Online Training Using Little or No Money – Scott Garrison

            MLA CE (4 hrs.), Thursday, Nov. 2 / 8 am—12 pm

      _________ Getting Magnetized – Search and Service Strategies for Nursing Excellence – Peg Allen

            MLA CE (4 hrs.), Thursday, Nov. 2 / 1 pm—5 pm

       _______ Health Sciences Librarians and Patient Safety: understanding leadership roles, reliability

                           and failure – Lorri Zipperer & Linda Williams

           MLA CE (4 hrs.), Thursday, Nov. 2 / 8 am—12 pm

       _______ Patient Safety Resource Seminar: Librarians on the Front Lines – Holly Burt

           MLA CE (4 hrs.), Thursday, Nov. 2 / 1 pm—5 pm

 

  ______ Check here if you plan to attend the Nancy’s Reception and Dinner

               at the Spring Valley Nature Center, Thursday, November 2 from

               6:00pm-9:00pm

  _______ I will need a ride from the hotel to the Nature Center  (car pooling encouraged)

 

  _______ Vegetarian Meals

 

 

   Make your check payable to HSLI and mail it with this completed form to:

 

Dalia Kleinmuntz – HSLI 2006  

Webster Library   

Evanston Northwestern Healthcare  2650 Ridge Ave.

Evanston, IL  60201 

 

Email: webster@enh.org

Phone: 847-570-2665

Fax: 847-570-2926