Dinner Registration for the Event with Dr. Marilyn Mackiewicz (October 12th, Pacific Lutheran University)
Please use this form to register if you would like to join for the buffet dinner segment of the event with Dr. Marilyn Mackiewicz at Pacific Lutheran University on October 12th.   $25 per person, $10 students  
Registration is not required to attend any other aspect of the event.  Individuals may attend any or all of the following parts of the event.  

Dr. Mackiewicz is an Associate Professor in the Chemistry Department at Oregon State University.  

4 p.m.  Student session: “Steps to Success in Chemistry- an informal discussion on overcoming challenges on your educational pathway."  -  Dr Mackiewicz and OSU Chemistry Dept grad student Hallee Boyd
Location:  
Hauge Administration Building, Room 101, Pacific Lutheran University

5:30 p.m.  Buffet Dinner  
Register using this form for buffet dinner- vegan option available.
Location:  
Chris Knutzen Hall, Anderson University Center, Pacific Lutheran University

All dinner participants attendees should register individually so that we have accurate information for meals.  At the end of this form there is a link to our Webstore for submitting payment.  

7:00 p.m. Public Lecture:  Be a Catalyst for Change: Empowering Cultures of Belonging, Leadership, and Innovation to Solve Convergent Global Challenges in Human Health and the Environment
Location:  
Hauge Administration Building, Room 101, Pacific Lutheran University

Dr Mackiewicz will discuss the design of safe nanomaterials for clinical use. She will integrate into this lecture how her experiences as a first-generation student and woman of color in STEM have shaped her as a transdisciplinary scientist and inclusive leader.

This program is sponsored by the ACS Puget Sound Section Executive Committee and is being organized by the Diversity, Equity, Inclusion and Respect and Women Chemists Committees.  If you have any questions, please contact Sheri Tonn, ACS PSS Councilor, at tonnsj@plu.edu. 

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Dinner Attendee Last Name *
Dinner Attendee First Name *
A vegan option will be available.  Do you have any dietary restrictions that require special consideration?  If so, please state them here.  
Do you have any access/mobility issues that we could help address to enable your attendance. If so, please describe them here.  
Thank you for registering.  After you click submit you will have the opportunity to register another attendee and you will be directed to our Webstore for payment.  Payment for all members of a party can be submitted together.   We look forward to seeing you!    
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