* 1. I will attend the Women Staff Leadership Initiative Information Meeting on April 15, 2013 in Room LL 06 Kelvin Smith Library from noon to 1:30.

* 2. Please give us your name

* 3. Please give us your email address

* 4. Please give us your work phone number (We will call only in the event of a change in plans.)

* 5. What is your job title?

* 6. Please give us the name of your office or department.

* 7. What is the Location Code of your office?

* 8. In what School or Unit are you located?