REGISTRATION FORM 
                    Managerial Assessment of Proficiency (MAP)

   Name: _________________________________________________________

   Phone: ______________________________________ML ________________

   Department: ____________________________________________________

   Email: __________________________________________________________

                        November 2008 (2 half-day sessions)
                           (Specific Dates To Be Determined)

Cost:  $100.00 made payable to the University of Cincinnati

Registration fees are non-refundable after the registration/payment deadline.

If you are unable to attend MAP on the date selected above, you can send a substitute  in your 
place by calling (513) 556-2704, but only if it is prior to the registration/payment deadline. 

                  You cannot transfer your payment to another session of MAP on a different date. 

                  Reservation form must be accompanied by:     NIU       Or          Check                

                   Send reservation form/payment to: Employee Development and Organization
                                                                       Effectiveness, ML 0087