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Workshop Registration Form

 

Fields marked with an asterisk * are required.

Please complete all relevant fields and the click submit. Submitting the form does not guarantee workshop registration confirmation. A separate email will be sent to you confirming the workshop registration.

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1. Contact Information

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Full institution name, no initials or abbreviations.
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Only street address, no P.O. boxes.
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Must be an academic email address (no yahoo, aol, gmail or .com).

2. Additional Information

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 Yes
 No
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 Yes
 No
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