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The University of Tennessee

Student Orientation and Leadership Development

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Student Registration

The 8th Annual Clifton M. Jones Student Leadership Conference will take place on Saturday, February 28, 2009 from 10AM to 4PM at the University Center. Lunch and a free t-shirt will be provided. There is no registration fee for the conference. Due to facility limitations, the conference is limited to the first 400 students who register. Students registering after the first 400 will be placed on a waiting list.

Please submit your registration no later than Friday, February 6th, 2009 at 5PM.

Please be sure that you do not press enter any place before completing the form.
All fields are required unless otherwise specified.

Personal Information


Name:  Preferred Name: 
            Last             First
  
LOCAL Address:  (Building Name & Room # If On Campus)
City/State/Zip Code:    (37916 - On Campus & Fort Sanders)
  
E-mail:  Cell Phone Number:  (xxx)xxx-xxxx
  
Gender: Ethnicity:
Classification: Academic Major: 
T-Shirt Size:
Organization(s) You Are Representing: 
  
Who told you about the Student Leadership Conference? 
  
Do you have any dietary restrictions? 

Please indicate below if you require any accomodations from the Office of Disability Services: 


Please note: If you determine after registration that you will be unable to attend the 2009 Student Leadership Conference, please email or call the Office of Student Orientation & Leadership Development at (865) 974-2313. Your cooperation will insure that waitlisted students are able to attend in your place.

By initialling below:

  • You agree that the information provided herein is true to the best of your knowledge; and
  • You agree to contact our office as stipulated above if you will be unable to attend the 2009 Student Leadership Conference.

Initials: 

Disclaimer

The University of Tennessee does not discriminate on the basis of race, sex, color, religion, national origin, age, handicap or veteran status in provision of educational opportunities or benefits.

The University of Tennessee does not discriminate on the basis of sex or handicap in the educational programs and activities which it operates, pursuant to the requirements of Title IX of the Educational Amendments of 1972. Public Law 92-318; and Section 504 of the Rehabilitation Act of 1973, Public Law 93-112, and the Americans with Disabilities Act of 1990, Public Law 101-336, respectively.

This policy extends to both employment by and admission to the University. Inquiries concerning the Title IX and Section 504 and the Americans With Disabilities Act of 1990 should be directed to the Office of Affirmative Action, 2110 Terrace Avenue, The University of Tennessee, Knoxville, Tennessee 37996-3558 or call (865) 974-2498. Charges of violations of the above policy should also be directed to the Office of Affirmative Action.