2027 Administrative Professionals Conference Registration Form

2027 Administrative Professionals Conference Registration Form

Deadline: April 2

Registration

Please complete all required fields on the registration form so your registration can be submitted successfully.
Payment is due at the time of registration.
For your convenience, all registrations are submitted electronically through Jotform.
Please register by deadline: Friday, April 2, 2027.
Once you submit your registration, Jotform will send you a confirmation email. If you do not receive it, please reach out to your institution's representative listed below. They will be happy to assist you.
Please note that on-site registration and payments will not be available.

We are happy to help! If you have any questions during the registration process, please contact Joanna Huskey or your organization's representative listed below.

Registration Fee:

Early Bird Registration $179 per attendee for registrations received by 12/31/26

Regular Registration $199 per attendee for registrations received from 1/1/27 - 4/2/27

Refund & Substitution Policy

Refunds requested by Friday, April 2 are subject to a $50 administrative fee.
Refunds will not be available after Friday, April 2.
You may transfer your registration to another attendee by notifying us no later than Monday, April 5. Please email substitution requests to Joanna Huskey at Joanna.Huskey@Advocatehealth.org.
Please note that subsitutions cannot be accepted after Monday, April 5.

Have questions? Your institutions representative will be happy to assist you.

Institution	Name	Email	Phone
Atrium/Advocate Health	Joanna	Joanna.Huskey@Advocatehealth.org	(336) 716-4694
FTCC	Cat	ckoski@forsythtech.edu	(336) 734-7638
Novant Health	Traci	trbutler@novanthealth.org	(336) 718-6639
UNCSA	Sonya	linneys@uncsa.edu	(336) 631-1585
WFU	Monae	merckm@wfu.edu	(336) 758-3767
WSSU	London	micklel@wssu.edu	(336) 750-2203
Others	Joanna	Joanna.Huskey@Advocatehealth.org	(336) 716-4694

Attendee & Institution Information
Name

First NameLast Name
Preferred Name for Nametag
This is how your nametag will be printed.
Job Title
Current job title
Department
Institution
If Atrium or Advocate, select location
If institution is other, type name here:
If Atrium/Advocate, select location is other, type name here:
Email
example@example.com - please use work email if you have one
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Method of Payment

For more details on the registration process for your institution, please visit our website at https://adminprofconf.com/Registration/
Payment Method
Atrium/Advocate Workday Cost Center
Ex. 000-0000 00000, SC74203 Teammate Training and Development
Novant Health GL Accounting String

Parking
Do you need handicap parking?
If yes, what is your handicap parking placard number?
Please enter NA if you don't need handicap parking. If you have a license plate instead of a placard, please enter license plate number.
If yes, what is your handicap parking expiration date?
Please enter NA if you don't need handicap parking.

Dietary Needs

We'd love your help in selecting dessert preferences so we can plan accordingly, including ensuring we have enough gluten-free options for those who need them. If you have additional dietary needs, please visit our website to explore available options: https://adminprofconf.com/Food/
Do you want a gluten-free dessert?

Supervisor Approval and Signatures

Please confirm your supervisor has approved your attendance by entering the required name and date information below.
Attendee Name

First NameLast Name
Date

MonthDayYear
Supervisor Name

First NameLast Name
Date

MonthDayYear
Should be Empty:

2027 Administrative Professionals Conference Registration Form

Registration

Registration Fee:

Refund & Substitution Policy

Attendee & Institution Information

Method of Payment

Parking

Dietary Needs

Supervisor Approval and Signatures