2017 South East Alliance for Persons with Disabilities in STEM (SEAPD-STEM) Annual Conference Registration
Please complete the fields below to register for the 2017 SEAPD-STEM Annual Conference, to be held August 25-26, 2017 at Auburn University.
First Name:
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Last Name:
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Institution:
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Role:
Email address:
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Telephone Number:
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Mailing Address - Street:
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City:
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State:
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ZIP:
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Accessibility: Please describe any accommodations that you anticipate needing during this conference.
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Will you be bringing a personal care attendant or service animal with you to the conference?
Will you need hotel accommodation during the confernece? If yes, please indicate which nights. (Attendees other than project personnel and students will be responsible for their own hotel arrangements).
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Please select any of the following classifications that apply to you:
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