AWG Where are the Women Geoscience Professors - Workshop Registration
Name:
Work address:
Work #:
Email:
(Please be sure to enter in the
correct email address
since your registration will be sent to this email address)
Present job title:
Job classification:
academic-2 year college
academic-primarily undergraduate college
academic-university with graduate program
academic-other
geoscience society
government agency
non-academic
Length of time at present institution:
Why do you want to attend this workshop?:
Will you be requesting travel funds?
If so, approximately how much?
Will you be staying at the State Plaza Hotel?
If yes, Workshop funds will cover expenses for a shared room.
Please note:
You will have to register for a room yourself. When you register, ask for group number 7355, "Women Geo-Scientists." Rooms will only be held until Sept. 3.
Will you need a roomate?
Or, if you have a roomate preference, please list their name:
If you do not have a roomate in mind, would you like us to find you a roomate?
If so, smoking or non-smoking?
Any comments or questions?