LAW MODULES REGISTRATION FORM

Name:_______________________________________

Title:__________________ EPA _____ SPA _____Faculty _____

Dept/College:______________________Email:___________
Phone:_________ Fax:_________ Campus Box:__________

If you are a person with a disability and desire any assistive devices, services or other accommodations to participate in this activity, please contact the Office of Legal Affairs at 515-3071 during the business hours of 8:00 a.m. and 5:00 p.m. to discuss accommodations or send an email to Legal_Workshops@ncsu.edu at least 2 weeks prior to the event.

NO WORKSHOPS ARE SCHEDULED AT THIS TIME

PLEASE CHECK BACK LATER

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 Limited Space Available!

Return Registration form to the Office of Legal Affairs

Fax: 515-3060 or Mail: Campus Box 7008