10th Annual Women’s Studies Student Conference
Conference Registration Form
Name: _____________________________________________________________
Check one: ______ student _____ faculty _____ alumni _____ activist _______ other
Institutional affiliation (for students, faculty, and alumni): __________________________
If you are an activist, state the name of your organization: _______________________________
If you checked “other,” what is your professional or local affiliation? ______________________
______________________________________________________________________________
I have plans to attend (check all that apply):
___ Alumni Roundtable (Dec. 1)
___ Opening Reception (Dec. 1)
___ Breakfast (Dec. 2)
___ Morning session (Dec. 2)
___ Luncheon (Dec. 2)
___ Afternoon session & Keynote Workshop (Dec. 2)
Please complete this from and send to wstudent@albany.edu by Monday, November 28, 2011.