Attendee Information

Emergency Contact Information [REQUIRED]

Enter your emergency contact name, phone, and relationship to attendee in the box below.

Please indicate any special dietary needs.

Pursuant to the Americans with Disabilities Act, do you require specific aids or services?

Please provide specific needs. 

What is your arrival date?

(You are responsible for making your own hotel reservation, see the "Accommodations & Travel" page for more information.)

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What is your departure date?
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Please indicate the topical thread your college team will focus on (please see FAQs for more information about each thread):
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Are you the lead for your college's faculty professional development program? (e.g., Center for Teaching & Learning, etc.) [REQUIRED]
If so, please note that your travel plans should enable you to arrive early to participate in the pre-conference workshop focuses on faculty development:Thursday, May 30: 9:30 am-1:30 pm
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How would you describe where your institution's level of experience with the chosen thread? [REQUIRED]
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To help us ensure that we have space for everyone who intends to register, please list the names of other attendees from your college (each person requires an individual registration).

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