Conference Questionnaire
Please respond to this questionnaire no later than March 20, 2019.

To register for the conference:

March registration fee: $50

https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=MRNZN67VLKSWU

April registration fee: $60

https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=N3KMGL3L2R8UW

If you have any questions, feel free to email kkittredge@ithaca.edu
Name (as it should appear in the program) *
Your answer
Preferred Pronoun
Your answer
E-mail Address *
Your answer
Cell Phone Number (confidential)
Your answer
Title of Your Paper *
Your answer
Institution/Independent Scholar
Your answer
Rank/Level of Education (this will not appear in the program)
Your answer
If you are an undergraduate, please list the name of your faculty mentor & give their e-mail address
Your answer
Are you going to be *
Required
Which nights are you planning to stay in Ithaca?
Do you have any dietary restrictions or food allergies that we should know about? *
Your answer
Do you have any disabilities which will require accommodation?
Your answer
Are you interested in carpooling? If you are interested and have a car, please write in the "other" option below where you are coming from and how many passengers you can carry. If you are interested but do not have a car, please write in the "other" option below where you are coming from and that you would like a ride.
Are you interested in sharing a room at the conference hotel with another presenter? If yes, please share your specific requirements for a potential roommate (gender/sleep habits/other) in the "other" option below. *
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