2011 Maine-China Education and Business Conference

Presented by: The Chinese Language & Culture Center of Maine (CCLCM) and Bangor Chinese School, in collaboration with
The Maine Department of Education, the College of Liberal Arts and Sciences of University of Maine, the City of Bangor, 
Husson University, Maine International Trade Center, and Orono High School

Sponsored by: Lee Academy, Hanban/Consulate General of China in New York City, and John Bapst High School, 

Registration Form
Fri. and Sat., Oct. 28-29, 2011, 9:00 am – 4:30 pm; Husson Univ.- Dyke Center for Family Business, Bangor, ME

 Register by email: jingzhang@bangorchinese.com                           Register by Fax: (207) 990-5158    
 Register by Mail: 2011Maine Chinese Conference                           Questions: Call (207) 990-0710 or email:         
                                53 Cumberland Street, Bangor, ME 04401                              jingzhang@bangorchinese.com                                                                                                                            
                                
   First Name __________________Last Name_______________________Chinese Name (optional)___________
Title and organization (if applicable):____________________________________________________________
Mailing Address__________________________________ City ___________State ________Zip____________
Email Address _________________________________________Contact Phone_________________________
CEUs:  Yes________ No________   I learned about the conference from:_______________________________

Please circle dates you will attend:      Oct 28-29              Oct 28 only                  Oct 29 only

For school: Does your school have a Chinese program? Yes_____________ No_____________________   
Does your school need help to establish a Chinese program? Yes (specify below)____________ No__________   
Teacher________  Resources_________    Financial ________ Sister-School in China________other________
For business: Do you do business with China? Yes_________________No____________
Does your company need assistance to build up business with China? Yes (specific below)_____No________
Representative___________Partner in China _________Legal Assistance _________other______________

My motivation to attend the conference:

     Business/ Job                      Education                 Family Heritage                   General Interest          
     Personal Growth         	 Travel                       Other (please specify): ______________________________
I would like to receive information about: 

    Chinese Lessons                                   2012 Chinese STARTALK/Dragon Camp              2012 Trip to China       
    Business Chinese Lessons                    Teaching in China                    Tourists Training and Info Lessons
     2012 CLCCM/NSLIY Free Study and Travel to China (high school students)          2012 Exchange Program
Please write any questions or expectations that you have for the conference: _________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Signature__________________________                                                               Date_____________________
                 
Registration Fees (including all conference sessions, materials, Chinese snacks, two lunches):

By Oct. 15: $135/person (two days); $95/person (one day)       By Oct. 20: $150/person (two days); $125/person (one day)            
After Oct. 20: $175/person (two days); $150/person (one day)           Seniors (age 65+) and Students: $75.

The registration is complete when payment is received. You will receive an email confirmation. 3 CEUs will be available for participants who attend the entire conference ($10 fee to the University of Maine).  Please send your registration with payment to: 2011 Chinese Conference, 53 Cumberland St., Bangor, ME 04401. For hotel info, please call Hampton Inn at 207 990-4400.