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French and Francophone Studies
Registration – Symposium in Honor of Chérif Keïta
Symposium Registration
A Registration Form for the Symposium in Honor of Chérif Keïta
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Name
First
Last
Email
Organization/Company
Job Title
Registration Type
Speaker/Presenter
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Student
Faculty/Staff
Accessibility Needs/Accommodation Requests
Please list any accessibility needs and/or accommodation requests that you may have
Dietary Restrictions/Allergies
Please list any dietary restrictions and/or allergies that you may have
Dinner at Reunion
Check if ‘YES’
Will you be attending the dinner/mixer at Reunion restaurant in downtown Northfield on the evening of Friday, May 8th?
Emergency Contact Information
Please list the contact details of the person we should contact on your behalf in the event of an emergency. Please list: name, phone number, email
Presentation Upload
Max. file size: 100 MB.
If you are presenting, please upload your presentation slides here.
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French and Francophone Studies
Registration - Symposium in Honor of Chérif Keïta
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