NIEA Fall Workshop Registration Form

NIEA Fall 2019 Workshop Registration: Truth & Consequences: A Quest for Information Literacy in a Global Context

Pierce College – Fort Steilacoom

9401 Farwest Drive SW

Lakewood, WA 98498

Friday, October 25, 2019 9:00 a.m. - 3:00 p.m.

Registration deadline: Friday, October 18

Registration fee: $50.00 (includes lunch)

We will contact you with payment information shortly after you complete your registration.

Workshop Registration: For information contact Heather Lukashin (hlukashin@olympic.edu or 360.475.7199)

Name*

First Name

Last Name

Discipline*

Institution*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Email*

Are you a workshop presenter?*

No Yes

Dietary requirements

None Vegan Vegetarian Gluten Free

Other:

Please indicate any special dietary requirements. If none, leave blank.

The Northwest International Education Association (NIEA) will take photographs and videos at the NIEA Fall Workshop and reproduce them in NIEA promotional and educational materials, whether in print, electronic or other media including the NIEA website. By participating in the Workshop, you grant NIEA the right to use your photo, voice, name, or statements for these purposes. If you do not want to be photographed, please contact Susan J. Taylor at sjtaylor@pierce.ctc.edu, and we will arrange special seats for you.