Personal Information

Fill out the information below, then click Next to continue.

* First Name (as you would like it to appear on your conference badge)

* Last name

What are your Preferred Pronouns?

* Email

* Confirm Email

* Mobile

* Registration Type

Checkbox selection for registering on someone else's behalf

* Organization / Company

* Title / Professional Role

Organization Address

* Address 1

Address 2

* Country/Region

* City

* State/Province

* ZIP/Postal code

Emergency Contact Name

Emergency Contact Phone

Do you require any accommodations related to the Americans with Disabilities Act? If so, please list below.

Please list any dietary restrictions or food allergies. Please select any special meal requirements.

Please select your primary position type (choose the BEST option, even it it's not exact)

This question is required.

School Administrator
District Leader
District/Site Hybrid Leader (you work at the district part of the time and school site part of the time)
School Counselor
Other School-Based Staff (not an administrator or school counselor)
County/Regional Leader
State Dept of Ed Leader
National Leader
University Educator
Graduate Student
Sponsor/Vendor
Hatching Results Staff Member

Please select your primary work setting.

This question is required.

How did you learn about this conference?

Is this your first time attending NSCLC?

This question is required.

By attending and registering for this event, I agree:

to be recorded and/or photographed while attending the National School Counseling Leadership Conference.
to be contacted for purposes regarding the conference.
that the contact information provided will be used by the Hatching Results Planning team to keep me informed on programming events and news.
to adhere to the conference code of conduct.

For more information, please contact the NSCLC Planning Team