Hispanic/Latino Faculty Forum Registration Form
Please register here for the 1st Hispanic/Latino UNC System Faculty Forum to be held on October 6, 2011at the Friday Institute NC State University Campus.
Middle Name or Initial
Preferred Phone Number
Alternate Phone Number
Appalachian State University
East Carolina University
Elizabeth City State University
Fayetteville State University
NC Agricultural and Techical State University
North Carolina Central University
NC State University
UNC Chapel Hill
UNC School of the Arts
Western Carolina University
Winston-Salem State University
North Carolina School of Science and Mathmatics
UNC System Administration
Academic Area of Interest
Will you be presenting a poster on Hispanic/Latino activities at your institution?
If you will be presenting a poster, what will you need NCSU to provide? (Easel, etc.)
(Hearing assistance, special or preferential seating, food allergies, etc.)
Will you be seeking travel reimbursement? (Only if traveling more than 3 hours one-way.)
Would you like your information to be shared in our NC Hispanic/Latino Faculty and Administrators Directory?
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