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Friday, December 5th 2008

Student Leadership Conference - Registration

Registration Information First Name: Last Name: Email: (Registration Confirmation will be sent here) PSU Student ID:

If Applicable Leadership Role: Do you need babysitting? If yes, please type name and ages of the children:

Misc. Questions Student Status: Food Prefered:

How did you hear about this conference? Poster Staff Member Targeted Email Other For special accommodations, please contact the Dean of Students office at askdos@pdx.edu or 725-4422 or stop by their office in 433 Smith before Friday, January 9, 2009.

Student Activities & Leadership Programs - SMSU 119 | ph 503.725.4452 | fax 503.725.5680 | leadership AT pdx.edu | salpweb AT pdx.edu