Printable Registration PDF 

 
 

Name:                                                                                                                             
Institution:                                                                                                                                    
Academic Department/Discipline:                                                                                                
Email:                                                                                                                                    
Telephone:                                                                                                                           
Conference Registration Fee:        $200 per person
Check: $                                                                                                                                                                        
Please make checks payable to Xavier University, Center for Mission and Identity.


Please DO NOT send cash.

Do you require any special accommodations (dietary,disability,etc.)?         Yes          No
If yes, please briefly explain:
    
 
 
  Mail registration form and check to:     XAVIER UNIVERSITY

             Center for Mission & Identity
  
3800 Victory Parkway
          
Cincinnati, OH 45207-3321

 

For questions regarding- registration contact Diana Rischman@xavier.edu
                                        the conference contact Debra Mooney@xavier.edu