Faculty Development Event Registration

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Registration For: Self-Assessment of Teaching
Start typing your full name below and a list of names will appear. Plese select your name from the list. After clicking in any other field, information from your faculty profile will be added to the registration request. Verify this information and add other required information before submitting.
* First Name:
* Last Name:
* Degree:
Job Position / Role:
Academic Rank:
* Department:

Please Specify:
* Institutional Affiliation:
Please specify:
* Phone: e.g. 123.456.7890
* Email:
* Security:

Enter the code below, including spaces, as it appears to the right.

12 twentyone 2024