Atixatraining and Certification Courses

ATIXATRAINING AND CERTIFICATION COURSES

EMBASSY SUITES DENVER – DOWNTOWN CONVENTION CENTER | DENVER, CO | JUNE 13TH – 16TH, 2016

REGISTRATION AND PAYMENT DEADLINE: TUESDAY, MAY 31ST, 2016

*Your registration will NOT be confirmed until payment is received! Your registration form and payment MUST be received by the registration deadline!

For registration via credit card, please visit

Course Selection:

Please highlight and underline the course(s) you wish to register for. Pricing reflects per-person cost.

Title IX Coordinator and Administrator Training & Certification Level One Course, June 13th – 16th, 2016, $2,699

Title IX Coordinator and Administrator Training & Certification Level Two Course – Structures, Pressures, Politics, Sanctions, Minors & MOUs, June 13th & 14th, $1,399

Title IX Coordinator and Administrator Training & Certification Level Three Course – Compliance, June 15th & 16th, 2016, $1,399

Title IX Coordinator and Administrator Training & Certification Level Four Course – Critical Understandings, June 15th & 16th, 2016, $1,399

Civil Rights Investigator Training & Certification Level One AND Level Two Courses, June 13th – 16th, 2016, $2,699

Civil Rights Investigator Training & Certification Level One Course, June 13th & 14th, 2016, $1,399

Civil Rights Investigator Training & Certification Level Two Course, June 15th & 16th, 2016, $1,399

Civil Rights Investigator Training & Certification Level Three Course, June 15th & 16th, 2016, $1,399

Campus Victim/Survivor Advocate and Campus-Serving Victim/Survivor Advocate Training & Certification Level One, June 13th & 14th, 2016, $699

Climate Surveys, VAWA Compliance and Strategic Prevention Training & Certification Level One Course, June 13th & 14th, 2016, $699

Registration Level:Please highlight and underline your registration level.

Current Non-Member – Registration includes a six-month Individual Membership.
Limit one membership per person, even if attending multiple courses. Membership is non-transferrable. Membership with registration cannot serve as a renewal to current members. Membership with registration only available to current, non-members.

Current ATIXA Member – All current Member registrations include a coupon (one-time use, $349 value) for arecent/archived online trainingfrom The NCHERM Group, LLC.

Attendee Information:

Attendee Name: ______

Title: ______

Institution: ______

Street Address, City, State, Zip: ______

Phone: ______Fax: ______

EMAIL: ______

Please highlight/indicate which best describes your Title IX role:

Investigator-onlyDeputy-onlyDeputy who investigatesDeputy who oversees investigations

Coordinator-onlyCoordinator who investigatesCoordinator who oversees investigationsNone

Payment and/or Invoicing Information:

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CHEQUE ATTACHED/BEING MAILED (MADE PAYABLE TO ATIXA)

PLEASE SEND AN INVOICE FOR THE REGISTRATION FEE.
Please provide email address for receipt of electronic invoice: ______

For registration via credit card, please visit

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COMPLETE THIS FORM AND FAX, EMAIL OR MAIL TO:

ATIXA • 1109 Lancaster Avenue • Berwyn PA 19312 • Phone (610) 644-7858 • Fax (610) 993‐0228

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