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Workshop Registration Form

(August - September 2009)

Personal Information

First name (required field)

Last name (required field)

Preferred name/nickname


Title


Department

Contact Information


Most frequently checked email address (required field)


Campus: IPFW    Ivy Tech    Other (please specify)


Campus telephone


Campus address: (building and room number)


Home telephone number

Please select the workshop you wish to attend from the menu below.

To register for mulitple workshops, please submit the form as usual for the first one and use your browser's back button to come back to this page. Your name and contact information should remain on the page. Simply change your workshop preference and submit the form again for each additional workshop you wish to attend.

Please select one of the following options: (required field)

Bring a friend, get a gift!

If you are bringing a friend, please provide your friend's name below.


 

What's New

Circle of Success
Plan-Teach-Evaluate
August 20, 2009
View the
program here!

IPFW is an Equal Opportunity/Equal Access University.