CS4ALL in WNY Conference Registration Form
@ SUNY Buffalo State College. Friday, September 28, 2018
Title *
Last Name *
Your answer
First Name *
Your answer
Contact Phone *
Your answer
Email Address (School) *
Your answer
Alternative Email Address (e.g Gmail, Yahoo. etc)
Your answer
Postal Address to Send Your Parking Pass *
Your answer
Name of your school/organization *
Your answer
School District *
Your answer
Department you work in: *
Grade/Levels You Teach *
Required
Does your school have a computer club ? *
If yes, what is the name of your computer club?
Your answer
Does your school offer Introductory Computer Science Courses? *
If yes, what is the name of the course(s)?
Your answer
Does your school offer Advanced Placement Computer Science courses? *
If yes, what is the name of the Advanced Placement course(s)?
Your answer
Please select the workshop you would like to attend: *
If you have other topic of workshop that you like to attend, list them below
Your answer
What are your reasons for attending the conference? *
Your answer
How did you hear about this conference? *
Your answer
Do you have any other questions or comments?
Your answer
You must send a refundable $35 check to the address below to reserve your seat.
Computer Information Systems Department
Attention: Tammy Anna
222 Technology Building
SUNY Buffalo State
1300 Elmwood Ave,
Buffalo, NY, 14222
Thank You!
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