THE NGCRC 2008 Eleventh INTERNATIONAL

GANG SPECIALIST TRAINING PROGRAM

REGISTRATION FORM:   May, 2008

Early Registration On-Line Version

Please PRINT neatly or type your full name with any title that you want to appear in your official name badge for the conference.

I.D. Badge Information:

NAME:___________________________________________

Title:_____________________________________________

Agency:__________________________________________

City,State:________________________________________

MAIL AND CONTACT INFORMATION: Where we will mail you a Confirmation of Registration letter for the conference, and the information that will be listed in the Directory if you want to be listed in the Directory:

Name:___________________________________________________________

Agency :__________________________________________________________

Street Address:____________________________________________________

City, State, Zip:____________________________________________________

Tel. #. Area Code_______ Tel #:____________________

Fax #. Area Code_______ Fax #:____________________

 Please indicate your preference for whether you want to be listed in the directory, a printed copy of which will be distributed to all persons registered for and actually attending the 2008 conference:

____Yes, list me in the directory

____No, do not list me in the directory

(If left blank, we assume you mean NO listing in the directory)

The NGCRC reserves the right to refuse service to anyone: Towards this end we must ask that all persons registering for the conference sign and by their signature acknowledge the Official Policy of the NGCRC which is as follows - In order to provide the safest and most educational environment, the National Gang Crime Research Center (NGCRC) works to ensure that all participants at our conference are law-abiding individuals who have gathered to collect and share information about gangs and crime, in order to reduce and possibly eliminate the problems associated with gang activity. Therefore, it is our policy that no individuals or groups will be permitted at our conference who have links to gangs or other aberrant groups and no one will be permitted to provoke or distract our participants from the most meaningful learning environment. The National Gang Crime Research Center (NGCRC) reserves the right to refuse attendance to any person or persons suspected of or actually displaying gang affiliations. Furthermore, we reserve the right to refuse attendance to any individual(s) determined to be disruptive or instigating a negative or inappropriate presence or who is determined to disrupt the sharing of information in the most effective learning environment. I have also read and understand the refund policy published by the NGCRC. I attest that I am at least 18 years of age as of this date.

I hereby acknowledge by my signature the above policies of the NGCRC:_________________________________________________________________________________________________

I would like to attend the Christian Gang Specialist Reception ___Yes ___No (if blank, we assume you mean “NO”)

I work in either law enforcement or corrections and I would like to attend the Law Enforcement and Corrections Networking Reception: ____Yes ____No (if blank, we assume you mean “NO”)

I want to attend the Intervention/Prevention/Counseling Gang Specialist Networking Reception ____Yes ____No (if blank, we assume you mean “NO”)

I want to attend one of the Baseball Game Networking Events? ___Yes ___No (If yes, pick one: ___Cubs game ___Sox game ___Either is fine)

I am registering for (check appropriate box):

___Non-certification ___Certification

If registering for Certification, Complete this section ONLY if you have previously been Certified by the National Gang Crime Research Center at any of the previous NGCRC International Gang Specialist Training Conference(s). I received NGCRC certification from (check one or more as may apply in your situation):

___First International ___Second International ___Third International ___Fourth International ___Fifth International ___Sixth International ___Seventh International ___Eighth International ____Ninth International ____Tenth International

SPECIAL TRAINING TRACKS (If you are registering for Certification, you also need to complete this section): CHECK ONE ONLY (this is for your second certificate described elsewhere in this brochure):

_____ Gang Crime Investigation Skills Track

_____ Gang Homicide Investigation Skills Track

_____ Domestic Counter-Terrorism Skills Track

_____ Asian Gang Issues Track

_____ Gang Profile Analysis Track

_____ Gang Interview/Interrogation Skills Track

_____ Gangs and Drugs Track

_____ Gang Prosecution Track

_____ Corrections Gang/STG Intelligence Track

_____ Gang Prevention Skills Track

_____ Gang Problems in K-12 Schools Track

_____ Faith-Based Programs for Gang Intervention Track

_____ Officer Safety Skills in Dealing With Gangs Track

_____ Gang Counseling Techniques Track

_____ Cults, Satanism and Gangs Track

_____ Hate Group/White Racist Extremist Gangs Track

_____ Dealing With Gang Members in Probation/Parole Track

_____ Advanced Gang Identification

_____ Gang Internet Investigation

_____ Management and Supervision Skills for Gang Specialists

_____ Motorcycle Gangs (restricted to Law Enforcement ONLY)

_____Female Gangs

_____Gang Program Grantwriting/Fundraising Skills

_____Gangs and the Mass Media

_____Spatio-Temporal Gang Analysis Skills

_____Dealing With Gangs in Juvenile Correctional Facilities

_____Gang and Violence Prevention for School Administrators

Your registration fee does not cover your hotel room or parking or meals. Your registration fee covers only the training itself.

Amount to pay for Registration (see schedule below):

REGISTRATION COSTS:

Note that the cost schedule refers to when exactly the payment is actually made for the training registration.

Registration Costs: Note the Cost Depends Upon When Payment is Actually Made. See schedule below.

Paying on or before May 31, 2008: Non-Certification: $650 Certification: $700

Paying on or after June 1, 2008 and on or before June 30, 2008: Non-Certification: $700 Certification: $750

Paying on or after July 1, 2008 and on or before July 31, 2008: Non-Certification: $750 Certification: $800 

Paying on or after August 1, 2008 and on or before August 5, 2008: Non-Certification: $800 Certification: $850

Paying On-Site (if slots are available): Non-Certification: $900 Certification: $950

Note anyone registering in late registration (Paying 8-1-08 or after) will not be able to pick up their certificates at the conference, they will have to be mailed to you after the conference.

Note anyone registering on-site: we reserve the right to refuse on-site registration to anyone for any reason. You will need USC, money order, traveller checks, bank check, cashier's check, or government agency check to pay onsite.

Note: you know you are registered for the conference if and only if you receive from the NGCRC an official “Conference Registration Confirmation” letter; we send these out PROMPTLY to all persons; so if you have not received one, you are not registered.

NOTE: Payment must be received by the NGCRC prior to the conference itself unless the NGCRC agrees to the terms of any alternative arrangement (in writing)..

Group Discount Code:_____________

PAYMENT METHOD: We prefer checks or money orders for payment. No personal checks will be accepted for on-site payment of conference registration fees. We do accept credit card payments.  

_____Payment enclosed in check or money order made payable to "National Gang Crime Research Center"

_____VISA, MasterCard, American Express or Discover (Circle one).

Card number:___________________________________________________________________________

Expiration date: Month___________________________ Year:_________________________________

If this is a Mastercard, what is your Customer Number:_________________________________

Name on card: (printed):___________________________________________________________________

Your Signature:________________________________ Amount you authorize to charge (total):__$______________

Billing Address for the card holder(Printed): (street address)__________________________________________________________
Zip Code for the Billing Address:__________________________________

Call (708) 258-9111 if you need the NGCRC F.E.I.N. (tax number) or our Merchant Number for credit card payments. Also, call (708) 258-9111 if you want to provide credit card info by verbal rather than written transmission.

Make checks or money orders payable to "National Gang Crime Research Center". Make sure to mail a copy of your registration with the payment so that proper credit can be made to your registration. Send registration forms and payment to: The 2008 Conference Processing Center, National Gang Crime Research Center, PO Box 990, Peotone, IL 60468-0990.