3T Registration

Required Information

This registration form is for NON-UC Conference Attendees.

Please be sure to send a check for your $75.00 dollar registration fee to us before March 3rd.

Checks must be made out to UNIVERSITY OF CINCINNATI and addressed to:

Andrea Herman, Business Manager
CET&L
2911 Woodside Drive
Langsam 480, ML 0033,
Cincinnati, OH 45221.

For questions please call Andrea Herman, Business Manager, at (513) 556-6382.

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* 1. First Name

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* 2. Last Name

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* 3. Please identify your academic rank.

Graduate Assistant

Adjunct Faculty

Educator

Assistant Professor

Associate Professor

Full Professor

Professor Emeritus

Secondary School Teacher

Primary School Teacher

Other (please specify)

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* 4. What institution do you work at? (You will identify your department/subject next.)

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* 5. Please identify your department/subject.

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* 6. Please enter your email address.

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* 7. Please enter a telephone number where you can be easily reached.

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* 8. How did you hear about this year's 3T conference?

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* 9. Have you previously attended a CET&L program?

Yes

Have more to tell us?

Please be sure to send a check for your $75.00 dollar registration fee to us before March 3rd.

Checks must be made out to UNIVERSITY OF CINCINNATI and addressed to:

Andrea Herman, Business Manager
CET&L
2911 Woodside Drive
Langsam 480, ML 0033,
Cincinnati, OH 45221.

For questions please call Andrea Herman, Business Manager, at (513) 556-6382.