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* 1. What is your name?

* 2. What is your email address so that we may keep you informed on further details before the event?

* 3. At which institution(s) do you teach?

4. What is your academic standing?

5. What is your primary department?

* 6. What courses do you teach?

7. Would like to be considered for a travel grant?

8. How did you learn about this event? (Please click all that apply)

Thank you for registering for the Midwest Professors Workshop. The European Union Center at Indiana University will contact you with information as it becomes available. For more information, please visit http://www.indiana.edu/~eucenter/conferences_professors.shtml or email us at eucenter@indiana.edu. We look forward to seeing you there!

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