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CNI and GFI Fellows Leadership Training: February 9-11, 2018, Ben Lomond Quaker Center
Please answer the questions below related to your attendance and travel plans.
*
1.
Contact Information
(Required.)
Name
Title
Email Address
Phone Number
2.
Campus
Berkeley
Davis
Irvine
Los Angeles
Merced
Riverside
San Diego
San Francisco
Santa Barbara
Santa Cruz
*
3.
Will you attend the retreat?
(Required.)
Yes
No
4.
What is your anticipated mode of transportation?
I will fly
I will drive
I will take Amtrak
Comments:
5.
If traveling by car, are you interested in carpooling?
I can provide a ride to others.
I need a ride.
N/A
Details:
6.
Your lodging will be at the Quaker Center. Participating students will be asked to share a room. (The rooms will have two beds.)
I do not have a roommate preference.
I would like to request a roommate.
Please list the name of your requested roommate:
7.
Do you have any special concerns about sharing a room?
Yes - please contact me to discuss.
No - I have no issues sharing a room with another fellow.
8.
My dietary restrictions, allergies and/or special needs are:
9.
Is there anything else you need us to know?
