ATIXATRAINING AND CERTIFICATION COURSES
EMBASSY SUITES DENVER – DOWNTOWN CONVENTION CENTER | DENVER, CO | JUNE 13TH – 16TH, 2016
REGISTRATION AND PAYMENT DEADLINE: TUESDAY, MAY 31ST, 2016
*Your registration will NOT be confirmed until payment is received! Your registration form and payment MUST be received by the registration deadline!
For registration via credit card, please visit
Course Selection:
Please highlight and underline the course(s) you wish to register for. Pricing reflects per-person cost.
Title IX Coordinator and Administrator Training & Certification Level One Course, June 13th – 16th, 2016, $2,699
Title IX Coordinator and Administrator Training & Certification Level Two Course – Structures, Pressures, Politics, Sanctions, Minors & MOUs, June 13th & 14th, $1,399
Title IX Coordinator and Administrator Training & Certification Level Three Course – Compliance, June 15th & 16th, 2016, $1,399
Title IX Coordinator and Administrator Training & Certification Level Four Course – Critical Understandings, June 15th & 16th, 2016, $1,399
Civil Rights Investigator Training & Certification Level One AND Level Two Courses, June 13th – 16th, 2016, $2,699
Civil Rights Investigator Training & Certification Level One Course, June 13th & 14th, 2016, $1,399
Civil Rights Investigator Training & Certification Level Two Course, June 15th & 16th, 2016, $1,399
Campus Victim/Survivor Advocate and Campus-Serving Victim/Survivor Advocate Training & Certification Level One, June 13th & 14th, 2016, $699
Climate Surveys, VAWA Compliance and Strategic Prevention Training & Certification Level One Course, June 13th & 14th, 2016, $699
Registration Level:Please highlight and underline your registration level.
Current Non-Member – Registration includes a six-month Individual Membership.
Limit one membership per person, even if attending multiple courses. Membership is non-transferrable. Membership with registration cannot serve as a renewal to current members. Membership with registration only available to current, non-members.
Current ATIXA Member – All current Member registrations include a coupon (one-time use, $349 value) for arecent/archived online trainingfrom The NCHERM Group, LLC.
Attendee Information:
Attendee Name: ______
Title: ______
Institution: ______
Street Address, City, State, Zip: ______
Phone: ______Fax: ______
EMAIL: ______
Please highlight/indicate which best describes your Title IX role:
Investigator-onlyDeputy-onlyDeputy who investigatesDeputy who oversees investigations
Coordinator-onlyCoordinator who investigatesCoordinator who oversees investigationsNone
Payment and/or Invoicing Information:
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Please provide email address for receipt of electronic invoice: ______
For registration via credit card, please visit
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ATIXA • 1109 Lancaster Avenue • Berwyn PA 19312 • Phone (610) 644-7858 • Fax (610) 993‐0228
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