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Below is the registration form for Human Rights, Social Justice, and Qualitative Research forum at Fordham University scheduled for April 21st, 2012. Please fill out the form completely. If you wish to submit an abstract for this forum, there are additional questions at the end of the registration form to do so. If you have any questions, email us at betheevidenceproject@gmail.com.

Thank you!

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* 1. Email:

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* 2. First and Last Name:

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* 3. Institutional affiliation:

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* 4. Position:

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* 5. Telephone number:

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* 6. Mailing Address (Street, City, State, Zip Code):

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* 7. Student-Interested in volunteering? (yes, no, maybe)

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* 8. Would you like to submit an abstract to present at the forum?

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