What is your connection to The Navigate Project? *

Partner

Advisory Board Member

Event Sponsor

Presenter

Motivate Lab Staff

Funding Partner

Other

Name *

First Name

Last Name

Mobile Phone Number *

Country

(###)

###

####

Role Description *

Select the description that most closely describes your role within your organization.

I provide intensive support to students in exploring postsecondary options, developing learning mindsets, navigating admissions and financial aid processes, and leveraging mindset-supportive practices to impact students and influence their advising team significantly.

I design and organize educational experiences to support specific academic or career goals, leveraging learning mindsets through curriculum, training, and initiatives to influence advising staff and program leaders.

I oversee the broader infrastructure supporting advising, integrating learning mindsets across policies, procedures, and goals, and have the ability to influence organizational-level change and strategic decision-making.

Mailing Address *

Where you would like correspondence to be mailed.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone Number *

Country

(###)

###

####

Dietary Needs/Preferences *

We cannot make any guarantees, but we will do our best to accommodate requests.

No dietary preferences

Vegan

Gluten-free

Vegetarian

Anticipated Arrival Date for The Navigate Project's 5th Annual Fall Convening *

MM

DD

YYYY

Anticipated Arrival Time (in MST) for The Navigate Project's 4th Annual Fall Convening *

Mountain Standard Time

Hour

Minute

Second

AM PM

Anticipated Departure Date from The Navigate Project's 5th Annual Fall Convening *

MM

DD

YYYY

Anticipated Departure Time (in MST) from The Navigate Project's 4th Annual Fall Convening *

Mountain Standard Time

Hour

Minute

Second

AM PM

Which Navigate Project tools have you or your organization used or implemented?

Select all that apply.

The Navigator Toolkit

Motivating Futures Course

Values Connection Activity

Learning Mindset Assessment Rubric

Data Analysis & Consultation

Unsure

None

N/A - Currently, not a Navigate Project Partner

Is this your first time attending a fall convening hosted by The Navigate Project? *

Yes

No

Do you grant the Navigate Project or its representatives permission to be interviewed, photographed, and/or videotaped for instructional, promotional, or other purposes deemed appropriate for public distribution and display and without any monetary compensation for usage? *

Yes

No