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New Faculty Fall Retreat Registration

September 2 and 3, 2008

Please register by August 22, 2008.

If you have questions or need assistance filling out this form, contact Tina Scarberry, (937) 775-4522.

	Dr. Mr. Mrs. Ms.
Rank:
First Name :
Last Name:
Complete Address (for summer):
Complete Address (Dayton):
Phone (for summer):
Phone (Dayton):
Phone (Campus):
Department:
Campus address:
Email address:
Position:
Do you need any special accommodations/food?

Please check if you will be attending the University Libraries, and Computing and Telecommunications Orientation on September 3, 2008. Please check if you will be attending the "Using Technology in the Classroom" Luncheon on September 3, 2008. Please check if you will you need a temporary parking pass for the retreat.