IEN Symposium Registration Form

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Page 1: IEN Symposium Registration Form

2nd Annual OISE Indigenous Education Network’s Indigenizing Psychology Symposium

2012 REGISTRATION FORM

Thank you for registering to attend the 2nd Annual OISE Indigenous Education Network’s Indigenizing Psychology Symposium. Please complete a separate form for each individual attending. If you have any questions about registration, please call (416) 978-0732

COMMUNITY/ORGANIZATION/INSTITUTION

FULL NAME

ADDRESS

EMAIL

PHONE NUMBER

REGISTRATION TYPE (academic, practitioner, student, community member)

Registration forms can be emailed to [email protected] or faxed to (416) 926-4749.

Please make cheque payable to the University of Toronto and send payment to:Indigenous Education Network, c/o Ontario Institute for Studies in Education252 Bloor Street West, 7th Floor, Room 7-191, Toronto, ON M5S 1V6

Registration fee can also be paid the day of the symposium. Please indicate when registering.