Office of Women's Affairs

Womens Leadership Symposium 2008 - Registration Form

                                   
REGISTRATION DEADLINE: June 13th, 2008
Advanced Registration Required

Registration fees are non-refundable after June 13th, 2008.

There is a $25.00 service fee for all returned checks.

Fee: $50.00 (UIC Faculty and Staff)
$20.00 (Full-time Students)
   $55.00 (Community Members)

Late Fee: $60.00

   First Name                                  
 
   Last Name                                   
   Department   
   Mail Code         
   Phone Number  (3124131025)   (With Area code and no dashes)
   Email Address     (xyz@uic.edu)
All fields are required

 

Payment Section

*****************************************************************************************************************

For participants paying by personal check, please click here to complete registration and mail it along with payment to:

Office of Women's Affairs
802 University Hall
601 S. Morgan (M/C 363)

***Payment must accompany form in order to be officially registered. No online or faxed registrations will be accepted.***

********************************************************************************************************************

  For participants paying through their departments with a FOAPAL number, you can directly register online below.

  Instructions:

· Please submit your department's FOAPAL number below.(The FOAPAL number must be valid, or your registration will be cancelled)
· The Office of Women's Affairs will then generate an electronic journal voucher in Banner using the FOAPAL number, which you provide below.
· You do NOT need to submit a hard copy voucher. It is all done electronically.

FOAPAL FIELDS
   Chart                                   
   Fund   
   Organization         
   Account     
   Program     
   Activity    (optional)  
   Location    (optional)  
   Encumberance  * (optional)  
* If you have obligated money for employee training or career development, and would like to apply the registration fee to that obligation, please include the encumbrance number.

 

Workshop Choices

Please indicate your choice for each of the concurrent sessions.

If you are not attending one of the workshop times, select “Not Attending” from the drop-down box. Please do not leave it blank or your registration will be unable to be processed.

If a workshop does not appear on the drop-down menu, the workshop is closed.

Morning Workshops

Workshops descriptions have been provided to make sure you have all of the information you need to select the best workshop for you!

Please click on the workshop titles below for the descriptions.

 

 

 

   Morning Concurrent Workshops 10:00 a.m. – 12:00 p.m.

 

Afternoon Workshops

Workshops descriptions have been provided to make sure you have all of the information you need to select the best workshop for you!

Please click on the workshop titles below for the descriptions.

TAKE CHARGE OF YOUR HEALTH: STRATEGIES FOR CANCER PREVENTION

 

Afternoon Concurrent Workshops 1:30 p.m. – 3:30 p.m.

 

Please fill out the Following Information.

This is Voluntary and is used to enhance future programming.
(This information is confidential and will be reported only as aggregate data)
Position Type   Other
What was the primary marketing tool that encouraged you to register?
How many symposiums have you attended?
Age
Gender
Race / Ethnic Background
Other
Sexual Orientation
Do you indenfify yourself as a person with disability?
If you self-identify as a person with a disability, have you disclosed your disability in the workplace?
If you self-identify as a person with a disability in the workplace, has UIC provided adequate accommodations for your disability?
If no, explain
Have you used the resources of UIC's Disabilty Resource Center for yourself?
Have you used the resources of UIC's Disability Resource Center for others?
Are you aware of the work of the Chancellor's Committee on the Status of Persons with Disabilities at UIC?

 

Please submit this form only once. If you want to make changes to your selections after you submit, call Athanasia at
413-1025 or e-mail athana@uic.edu.