Acknowledgement Letters

If you would like to have a letter sent to others at your institution acknowledging your participation in the 2013 workshop on Supporting Student Success in Geoscience at Two-year Colleges, please complete and submit the form below.

Participant Contact Information:Your Title:

First Name: (as you would like it to appear in the letter)

Last Name:

Name of Institution:

Department:

Email Address:

Street Address:

Street Address: (if needed)

City, State, Zip Code:

Acknowledgment

We will be happy to write a letter acknowledging your participation in this workshop to others in your institution. If you would like us to send such a letter, please provide the following contact information for up to two recipients. Both you and the second recipient will receive a copy of the letter that will be addressed to the person you put in the first recipient space.

If you would like to receive a general letter of acknowledgment that is sent just to you to keep on file, please fill out only the Participant Contact Information section above. Please be sure to enter all information exactly as you would like it to appear on the letter.

First recipient's title:

First recipient's first name:

First recipient's last name:

Position (e.g., Dean of Arts and Sciences, Chair of Atmospheric Sciences, Provost):

Institution:

Street Address:

Street Address: (if needed)

City, State, Zip Code:

Second recipient's title:

Second recipient's first name:

Second recipient's last name:

Position (e.g., Dean of Arts and Sciences, Chair of Atmospheric Sciences, Provost):

Institution:

Street Address:

Street Address: (if needed)

City, State, Zip Code:

Name Email