Fall 2019 Symposium on Faculty-Led Study Abroad

Registration Form

Name (As it should appear on a name tag) *
Name (As it should appear on a name tag)
I would like to attend the following are-specific breakout session (choose one)
Phone number *
Phone number
Acknowledgement *
By submitting this form, I certify that the information I have provided on this form is complete and correct. I acknowledge that the MIEC, the MCCIEC, and its members accept no responsibility in whole or in part for injury to any person or property; or for any substitutions of program elements. No revision of the program or its included features is anticipated, but the right is reserved to make any changes that may become necessary with or without notice.
Date *

Seats are limited, so early application is encouraged.

Price Options