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"North to the Future" - 2018 UAA Leadership Conference Registration Form
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First Name
*
Your answer
Last Name
*
Your answer
Preferred Name (for Nametag)
*
Your answer
School Affiliation
*
Your answer
E-Mail Address
*
Your answer
Phone Number
*
Your answer
Are you interested in a specific track?
*
New Leader
Student Employee
Greek Life
No, I am just interested in participating in a variety of leadership session.
Do you have any dietary restrictions? Please list them below.
*
Your answer
Do you need any accommodations in order to fully participate in the conference? Please list them below.
*
Your answer
We look forward to seeing you on November 3rd!
Any questions, please contact Kim Morton, Associate Director of Student Life and Leadership at
kmorton11@alaska.edu
or 907-786-1371.
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