Aquatic Invasive Species Networking Workshop Registration Form
Please complete the form below to register for the Illinois-Indiana Sea Grant Aquatic Invasive Species Networking Workshop on September 13, 2019 at the Mathew Bieszczat Volunteer Resource Center in Chicago, IL. The deadline to register is August 30.

The workshop invitation and details can be found at http://bit.ly/2yMG0sI

If you have questions about registration, contact Jordan Wood at jordanw@illinois.edu.

Email address *
First Name *
Your answer
Last Name *
Your answer
Affiliation *
Your answer
What is your primary role in this organization? *
In your current role, what percentage of time is dedicated to working on issues related aquatic invasive species?
In one or two sentences describe your professional experience with aquatic invasive species?
Your answer
Please check all that apply. You'll be contacted with more details if you select one or more of the options below.
Select a lunch option. Panera Bread boxed lunches will be served with potato chips, a pickle, and a cookie. *
If you have any dietary restrictions, please describe below.
Your answer
A copy of your responses will be emailed to the address you provided.
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