Thank you for your interest in our workshop about teaching computer ethics. We look forward to seeing you soon at the SIGCSE Technical Symposium. To register for the workshop, please fill out and submit this application. If you have any questions about the workshop, or about this form, please contact Dr. Don Gotterbarn at don@gotterbarn.com

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* 1. First Name:

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* 2. Last Name:

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* 3. Affiliation:

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* 4. What would you like printed on your name tag?

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* 5. Email address:

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* 6. Please repeat your email address:

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* 7. Please list any food allergies or special accommodations needed:

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* 8. May we share your name and email with other participants?

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* 9. Have you taught computer ethics, or computers and society, or computers and law (or something similar) before? If so, please tell us a bit about your experiences.

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* 10. Are there topics you would especially like us to cover during the workshop? If so, please elaborate.

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* 11. Please add any other comments for the organizers of the computer ethics workshop:

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