2024 APS CUWiP at West Virginia University (Non-Undergraduate)
This form should be completed by all non-undergraduate attendees. This includes speakers, panelists, chaperones and other guests.  This form must be completed by January 2, 2024. 

APS CUWiP at WVU
January 19-21, 2024
Morgantown, WV 26506
For the newest information and updates, please be sure to follow us at: https://www.facebook.com/CUWiPatWVU2024

If you have any questions, please email us at: cuwip@mail.wvu.edu
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Email *
Your name (First Last) as you want it printed on your badge
*
Your phone number (will only be used in emergencies like bad weather or travel delays) *
Your institution, company or affiliation *
You are attending CUWiP at WVU as a: *
What days will you be attending? *
Required
Will you need hotel accommodations? *
If yes, please indicate the night (s) you will need a hotel reservation.
Do you have any dietary restrictions or food allergies? Examples include: vegetarian, vegan, lactose intolerant, gluten free, peanut allergy, kosher, halal, etc.
Do you have any special needs/requests? (accessibility/mobility requests, prayer room, lactation space, etc)

Are there any ways we can maximize your CUWiP experience? Please feel free to share any comments or additional questions here. 
A copy of your responses will be emailed to the address you provided.
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