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Common CAHSS Registration Form
Contact Information:
First Name:
Last Name:
Email:
Which of the following best describes you?
Current UW-Green Bay Student
UW-Green Bay Alumni
UW-Green Bay Faculty/Staff
Community Member
Participating Representative, Enter Organization Name:
Other, Please Specify:
Which Common CAHSS events are you planning to attend?
(Check all that apply.)
Monday (11/29) morning sessions
Monday (11/29) afternoon sessions
Monday (11/29) Afternoon Professional Development Session, Renee Ettinger (
learn more
)
Monday (11/29) Evening keynote, Dr. Clif Ganyard (
learn more
)
Tuesday (11/30) morning sessions
Tuesday (11/30) afternoon sessions
Are you a session presenter or performer?
Yes
No
How did you hear about Common CAHSS: Truth?
(Check all that apply.)
Website
Social Media
Course Instructor
Email
Poster
News Media
Other, Please Specify:
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