CONFIRM YOUR ATTENDANCE | Academy Session 3

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CONFIRM YOUR ATTENDANCE | Academy Session 3 - Travel and Logistics Form

Please answer the following questions regarding travel and logistics. It is required you complete this form to confirm your attendance at Session 3.

If there are any questions regarding this form, please reach out to Dylan Lohmeyer (d.lohmeyer@csus.edu).

Deadline to confirm is March 13th!

First Name *

Last Name *

Email *

Campus or Role *

Job Title *

How many nights of lodging will you require during Session 3 of the Academy at Kellogg West? *

None

2 nights (Apr 2 - 4)

3 nights (Apr 1 - 4) *Please note that due to limited resources, 3 night stays are reserved for campuses that are a great distance from Cal Poly Pomona. DO NOT book travel without receiving confirmation for your 3 night stay

1 night *Please email d.lohmeyer@csus.edu to indicate which date you require lodging

Do you have any dietary restrictions we need to be aware of? *

If yes, what are your dietary restrictions?

Do you require certain physical accommodations with regards to lodging or have other needs that we should know about?

We will be providing all participants with a roster of attendees and their contact information. Please indicate how you would like us to handle your information.

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