VA Power Dialog Registration
Please use this form to register either yourself or your group for the VA Power Dialog in Richmond on April 8, 2016.
What is your name?
Your answer
I am a:
Required
If you are currently affiliated with a college/university/school, please list your school name:
Your answer
What is your email address?
Your answer
Please confirm your email address.
Your answer
Are you registering yourself, students in a course, or students from a student organization? Check all that apply.
Required
If applicable, what is/are the name(s) of your course and/or organization?
Your answer
If applicable, how many students will attend from your course and/or organization?
Your answer
Please indicate which of the following events in which you and/or your group will participate. Check all that apply.
Required
If you are part of a course or organization, how are you examining energy, environmental, and/or policy issues in Virginia?
Required
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