Directors' Institute Application Form - Corporate Governance

Directors’ Institute Application Form

Only current directors serving on boards are eligible to apply.

Please fill out and submit the following form.

Directors’ Roundtable for Compensation Committee Members		Conference Board Members	Conference Board Non-Members
	Individual - Newark, DE - June 21-22, 2010	$2,000	$2,500

Roundtable Forum		Associates of The Conference Board	Corporate Rates
	Individual - Chicago, IL - Mar. 25-26, 2010	$3,500	$4,500
	Individual - New York, NY - June 3-4, 2010	$3,500	$4,500
	Group (for corporate boards) Allows three directors to participate in any program during the year.	$8,000	$12,000
	Full Board Access Allows up to eight directors to participate in any program during the year.	$20,000	$25,000
	In-House Rates Program fees are determined based on program length, the number of faculty required, and whether the company is an Associate of The Conference Board.	If you choose this option, you will be contacted by our staff to determine what your specific requirements are.
	Please click here if you are a member of the Society of Corporate Secretaries and Governance Professionals. You are eligible for Associate rates.

Note: Fields marked with an * are required.

Name:*
Title:*
Company:*
Address:*
City:*		State/Province:
*Zip Code:**
Tel:*	(Example: 1-212-333-3333)	Fax:
Email:*
Please list the boards on which registrant currently serves.

Cancellation Policy
Cancellation three weeks prior to meeting date — full refund granted.
Cancellation two weeks prior to meeting date — $250 administration fee.
Cancellation less than two week prior to event — no refund.

For more information, contact:
Brandi Mathis
Center Manager
Governance Center and Directors' Institute
Tel: +1 212 339 0241
brandi.mathis@conference-board.org