Please register below for this event. If you have any questions, email us at

Thank you!

* 1. Email:

* 2. First and Last Name:

* 3. Institutional affiliation:

* 4. Position:

* 5. Telephone number:

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

* 7. Are you a student-Interested in volunteering for the event? (yes, no, maybe)

* 8. List any questions you would like to be discussed during the open discussion portion of the program.

* 9. What programs would you like to see us host? Do you recommend any presenters, programs, etc…? If so, please describe.