Empathy in Innovation Registration Form (Week 2)

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Empathy in Innovation Registration Form (Week 2)

Please fill out this form prior to attending the Empathy in Innovation Workshop: Active Listening

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Email *

Your answer

Are you a Dalhousie student? *

Yes

No

Program of study (if you are not a student, enter either your workplace or "N/A"). *

Your answer

Year of study. *

1

2

3

4+

Non-student

Do you have any dietary restrictions or severe allergies that we should know about? *

Yes

No

If you answered "yes" to the question above, please indicate your dietary restriction or allergy below.

Your answer

Is this your first time attending a ShiftKey Labs event? *

Yes

No

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