SWACJ 2017 Annual Conference Registration
Thank you for your interest in attending the Southwestern Association of Criminal Justice Annual Meeting. To reserve your seat, please fill out the information below.
First Name *
 
Last Name *
 
2017 Paid SWACJ Membership Type *
 Professional Member ($75 Pre-Registration)
 Student Member ($50 Registration)
 Non-Member ($100 Pre-Registration)
Please list the names of guests that you wish to register for the social events only: (Guest registration is $45 each and covers the cost of the Past Presidents Reception and the Luncheon.)
 
 
 
 
 
 
 
School/Organization *
 
Address 1 *
 
City *
 
State *
 
Postal Code *
 
Business Phone *
 
Email Address *
 
Will you be staying at the conference hotel? *
 Yes
 No
 Unsure
Days Attending *
 Thursday
 Friday
 Saturday
 Will you volunteer to help with conference activities?
Activities Attending
 Past Presidents Reception
 SWACJ Luncheon
Do you want to submit a Poster Presentation?
 Yes
 No
Poster Presentation Title (including all participants and their institutional affiliation).
 
 
 
Do you want to submit a Roundtable Presentation? (Should be submitted by the roundtable chair only)
 Yes
 No
Roundtable Presentation Title (including all participants and their institutional affiliation).
 
 
 
Do you want to submit a Panel Paper abstract?
 Yes
 No
Are you willing to be the Panel Chair?
 Yes
Panel Paper Title (including all participants and their institutional affiliation).
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Panel Paper Abstract (may not exceed 100 words)?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Do you want to submit a second Panel Paper abstract?
 Yes
 No
Are you willing to be the Panel Chair?
 Yes
Panel Paper Title (including all participants and their institutional affiliation).
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Panel Paper Abstract (may not exceed 100 words)?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
When you click on "submit" you will receive an email copy of your information and you will be redirected to the SWACJ payment page to submit electronic payment. You may also "print form" fill it out and mail to : Richard C. Helfers, Ph.D.Assistant ProfessorUndergraduate Program CoordinatorCriminal JusticeUniversity of Texas at Tyler903-566-7399 If you chose to pay by Check, please make check payable to: Southwestern Association of Criminal Justice and mail to the above address. Thank You    
http://fs18.formsite.com/ws03txstateedu/Registration/print (http://fs18.formsite.com/ws03txstateedu/Registration/print)