SAGE 2YC > Supporting Student Success > Richmond Local Workshop 2014 > Registration

Workshop Registration

Participant Info














(Please Note: We use your email address to track your application and participation in the workshop and to communicate with you. Be sure to use the same email address in all forms relating to your workshop participation.)





Demographics

The following information is for our reporting purposes only.






Race (select one or more):













Workshop Questions









Do you have a disability, food allergy, or preference that requires accommodation at the workshop?

Research Release

I have read the Description of the Research Project and Implications for Participation (opens in a new window) or it was read to me. I know the possible risks and benefits. I know that being in this study is voluntary. I choose to be in this study. I know that I can withdraw at any time. I am at least 18 years of age and voluntarily grant permission for the described release and use of notes and comments regarding me in the workshop.






Workshop Product Release

In confirming my registration for this workshop, I agree that any audio recording or images (still or video) made of me during the workshop may be used on the project website, in printed project publications, and in materials developed by the project. I further agree that my contributions to creative works that emerge from workshop activities (e.g., discussions on the email list, contributions to the web page, summaries of group discussion, etc.) may be used by the workshop series, PIs, and conveners for development of future workshop materials, for scholarly reports, and for promotion of the workshop series. Attribution for original contributions will be made whenever possible.





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