General Information
Registration and Lodging
Registration Form
Presenter Information
Conference and Travel Logistics
Program At A Glance
Conference History
Contact Information
Home
16th Annual National Black Graduate Conference in Psychology
University of Maryland, Baltimore County

July 8-11, 2010

Conference Registration

Please complete and submit the form below by
April 2, 2010

Conference Registration
   
Name: 
College or University: 
Mailing Address: 
Home Phone: 
Alternate/Cell Phone: 
E-mail Address: 
 
Title of Presentation (limited to 100 characters including spaces)



Abstract of Presentation (limited to 250 words)



Submission Format Preference:

  Paper        Poster     

Lodging Registration

Are you requesting lodging for the conference? 
  Yes           No        

What is your gender? (for roommate purposes) ? 
  Male           Female        

Do you need a smoking room? 
  Yes           No        

Do you need special room accommodations for any reason, e.g., physical disabilities?
  Yes           No        

If so, please explain.


Do you have a preferred roommate?
  Yes           No        

If so, what is his/her name?


Do you have any food allergies or Dietary Restrictions?
  Yes           No        

If so, please explain.


     

UPON NOTIFICATION OF ACCEPTANCE, ALL REGISTRATION FEES MUST BE PAID BY CHECK OR MONEY ORDER. PLEASE MAKE ALL CHECKS PAYABLE TO "UMBC". REGISTRATION FEES CAN BE SENT TO:

National Black Graduate Conference in Psychology
c/o Shawn Bediako, Ph.D.
Department of Psychology
University of Maryland, Baltimore County
1000 Hilltop Circle
Baltimore, MD 21250-0001


 

 

Copyright © 2010 Annual Black Graduate Conference in Psychology. All Rights Reserved.
Site Design Academic Web Pages