Faculty Registration Form
(A form for hotel and food preferences will be sent out in January for those that are accepted)
First Name
Last Name
Affiliation
E-mail
Cell phone
Which days are you planning to attend?
Please check all days you will attend
Are you nominating a student?
Clear selection
Will you need us to make hotel reservations for you?
Clear selection
We are asking for voluntary coverage from faculty for their hotel accommodations. Please indicate if your research budget permits you to cover lodging costs:
Clear selection
Submit
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