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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
https://cuwip.wvu.edu/
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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* Indicates required question
Email
*
Your email
Your name (First Last) as you want it printed on your badge
*
Your answer
Your phone number (will only be used in emergencies like bad weather or travel delays)
*
Your answer
Your institution, company or affiliation
*
Your answer
You are attending CUWiP at WVU as a:
*
Speaker, Panelist
Guest or chaperone
Sponsor
LOC Member or Volunteer
Other:
What days will you be attending?
*
Friday, January 19
Saturday, January 20
Sunday, January 21
Required
Will you need hotel accommodations?
*
Yes
No
If yes, please indicate the night (s) you will need a hotel reservation.
Friday, January 19
Saturday, January 20
Do you have any dietary restrictions or food allergies? Examples include: vegetarian, vegan, lactose intolerant, gluten free, peanut allergy, kosher, halal, etc.
Your answer
Do you have any special needs/requests? (accessibility/mobility requests, prayer room, lactation space, etc)
Your answer
Are there any ways we can maximize your CUWiP experience? Please feel free to share any comments or additional questions here.
Your answer
A copy of your responses will be emailed to the address you provided.
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