NAME:______

Organization: ______

Title: ______Email: ______

Address: ______

City:______State: ______Zip: ______

Phone: ______County: ______

Vegetarian? Yes No

OTHER ATTENDEES (if applicable):

(For 3 or more attendees from your organization or if you are a student, contact the WVNPA for special rate on Early Bird and Regular registrations)

Name & Title:Email:

______

______

______

PRE-CONFERENCE AND LEARNING LAB CHOICES

(If you are registering more than one attendee, please indicate the number of people attending the National Service Pre-Conference and Learning Labs. To view descriptions of eachLearning Lab, visit the Summit page on our website:

THURSDAY, OCT. 12th

National Service Pre-Conference (Cross Stream Networking) Yes No

A networking event for AmeriCorps, VISTA, and Senior Corps program staff.

THURSDAY, OCT. 12TH1:15 – 2:45 PM Learning Labs Session 1

Choose 1

Pursuing Sustainability: Using the Matrix Map to Make Strategic Decisions with Steve Zimmerman

Cultural Competence: Strengthening Workplace Sensitivity with Bruce Decker

Turn to You – Nonprofit Leader Guide to Self-Coaching with Tricia Kingery

Most Frequently Violated WV Employment Laws with Tammy Baker

Here for Good: Anatomy of a Creative Campaign with Ellen Allen

Volunteer Program Needs Assessment with Nicole Fiocco

THURSDAY, OCT. 12TH3:00 – 4:30 PM Learning Labs Session 2

Choose 1

Mastermind Groups: Gleaning the Wisdom of the Group for Greater Success with JeremyTurner

Telling Your Organizations Story-Financial Best Practices with Valerie Ellis

How to Harness the Power of Data to Successfully Navigate Change& Challenges with Sonia Pandit

Strategic Planning: Positioning your Organization for Future Success with Bruce Decker

Volunteer Management with Nicole Fiocco

FRIDAY, OCT. 13TH9:00 – 10:30 AM Learning Labs Session 3

Choose 1

Achieving your Goal: The Power that Advocacy Plays! with Christopher Kimes

Engaging for Change with Susan Koehler

Social Enterprise: Earned Revenue & Social Impact for a Double Bottom Line with JeremyTurner

A Game Plan for Effective Communications to Weather the Storm with Traci Phillips

Prototype Your Future – an Introduction to Design Thinking Concepts and Tools with Ron Bailey

Volunteer Motivation with Nicole Fiocco

FRIDAY, OCT. 13TH10:45 AM – 12:15 PM Learning Labs Session 4

Choose 1

The Power of Story – An Introduction to Multimedia Storytelling with Ron Bailey

Cause Related Marketing with Traci Phillips

Aligning Your Team Members with Your Organization Priorities with Bob Whitmore & Monica Gould

Yesterday, Today and Tomorrow: Strategies for Surviving in Challenging Times with Jeanette Wojcik

Looking at Your Leadership with Nicole Fiocco

REGISTRATION(per person)WVNPA MemberNonmember

Early Bird Registration $120 $175

(Closes September 15)

Regular Registration $140 $190

(September 16 - 30)

Late Registration $200 $275

(October1 - October 9)

TOTAL AMOUNT ENCLOSED: $______

PLEASE NOTE:Philanthropy West Virginia is the fiscal agent for WVNPA.Please make your registration check payable to: “Philanthropy WV/WVNPA” with “WVNPA Nonprofit Leadership Summit” in the memo line. Send your check and a copy of this registration form to:Philanthropy WV, PO Box 1584, Morgantown, WV 26505. Registration fees are non-refundable.

Contact CHARLESTON MARRIOTT TOWN CENTERat (304) 345-6500 torequest the “Nonprofit Leadership Summit” special room rate of $107/night plus tax.Special rate expires September 19, 2017.

QUESTIONS?Contact Laura Lee Haddad at 304-667-2248 –