Faculty and Staff Registration
The 2019 Koret UC LEADS Research and Leadership Symposium will be held at UC Santa Cruz on Saturday, March 2nd. The deadline to register is Friday February 1st, 2019.
Email address *
First Name *
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Last Name *
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Institution *
Are you a: *
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Poster disciplines you are comfortable judging: *
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Which nights will you need a hotel room? *
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How will you travel to the Symposium? *
Dietary Restrictions
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Accessibility Accommodations
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Shirt Size
Emergency Contact Name *
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Emergency Contact Phone Number *
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Relationship to you *
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Health/Medical Conditions
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A copy of your responses will be emailed to the address you provided.
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