Event Location: please indicate which event you are a resource for...
Western Symposium (September 24, 2008 - IUP, Indiana, PA)
Eastern Symposium (November 6, 2008 - Franklin and Marshall College, Lancaster, PA) |
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Which method of communication do you prefer?
Mail
E-Mail
Phone |
Lodging:
Yes
No, not necessary
If yes, please list any special requirements
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Meals
Please list any dietary or other special needs |
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Travel: please indicate if you would like travel reimbursement
Yes
No, not necessary
If yes please indicate total number of miles traveled
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Bio
Please include a brief bio with your confirmation form
(title, education, relevant experience, etc.) |
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