Registration Request

* indicates required fields

• First Name: *
• Last Name: *
• Employee ID: *
• Title: *
• Department: *
• Telephone: *
• Western Email Address: *
• Campus Address: *
• Department Speedcode & Account (e.g. AB99 631800):*

• 
  (Used only if a Withdrawl Fee is charged)

• Below, please indicate the types of meetings you typically lead (eg. work team; project team; ongoing committee):*

• Please select the program you wish to attend based on the 2012-13 Schedule: *

  • Session M#16 -FULL-
    From 8:30 - 4:30 Jun 11 & 13, 2013 SSB 4210
    From 10:00 - 12:00 Sept 12, 2013 SSB 4220

You will be notified by email as to the status of your registration request.