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Forum on Leadership of Learning and Teaching
28-29 June 2007

 

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Registration

Please complete the following Registration Form, and submit it by clicking on the button below.

 

Your details

First name:
Last name:
Title:
Preferred name (for name badge):
Position:
Organisational Unit:
Institution:
Phone number:
Mobile number:
Email address:
Emergency contact:

 

Accommodation and meals

Travelodge Hotel :
Nights accommodation required:

Wednesday 27 th June (WA participants only)

Thursday 28 th June (non-Sydney-based participants only)

Additional nights (at participants own or institution’s expense)

Please enter dates (DD/MM/YY):

Will you be attending the Forum dinner on Thursday 28th June:


Special dietary or other requirements:

About your leadership role

Please note that this information is for the use of the Forum Organising Group only, to assist us in tailoring the programme appropriately and allocating participants to discussion groups. We will not be circulating this information to Forum participants.

Briefly describe the key elements of your role or position at your institution (2-3 sentences):

Briefly describe your current leadership challenges (2-3 sentences):

    

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