Register for an Event

FTEP Event Registration form

Please complete all fields as applicable.

Name of Event I am registering for:

Date(s) of Event

(mm/dd/yyyy)

First Name:

Last Name:

Department:

Faculty Rank

Instructor

Assistant Professor

Associate Professor

Full Professor

Other

Phone:

(optional)

Campus Box:

Email:

No. of courses taught this semester:

Total # of students in all courses: