Faculty of Information Bertha Bassam Lecture 2017

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* 1. I will attend the following event(s) on Thursday, November 16th, 2017. Please check all that apply.

Bertha Bassam Lecture
6:00pm-7:30pm
Innis Town Hall
2 Sussex Ave.
University of Toronto, St. George Campus
(North of Bissell Building)

Reception and iStars Networking Event
7:30pm-9:00pm
Innis Town Hall
2 Sussex Ave.
University of Toronto, St. George Campus
(North of Bissell Building)

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* 2. What is your Full name?

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* 3. What is your email address?

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* 4. I am currently a:

Faculty of Information Student

Faculty of Information Graduate

Faculty of Information Faculty Member

Faculty of Information Staff Member

Friend of the Faculty of Information

Other UofT

Member of the general public

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* 5. If applicable, please tell us in which program and/or Faculty you are a student/graduate/faculty/staff member.

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* 6. If you are a a student or alumni of the Faculty of Information please tell us your year of graduation.

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* 7. Please tell us of any other affiliation you may have to the Faculty of Information or the University of Toronto.

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* 8. Will you be bringing any guests to the lecture? If so, please fill in their name(s) and email address(es).

Guest name #1

Email address #1

Guest name #2

Email address #2

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* 9. Please let us know of any special accommodations you may require.

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* 10. For Faculty of Information Alumni only:

I would like to participate in the iStars networking program as a mentor - please send me more information.

I am currently an iStar mentor and will attend the Networking reception on Nov. 16th.

I will email a recent photo of myself to be included in the info handout for students to lisa.habib@utoronto.ca

My job title and current area of practice or interest are: