Professional Staff Conference Registration Form

If you have any problems completing this form, please contact Denise Prior.

Please note: Fields with '*' are required as mandatory fields and must be filled in.

*Title
*First Name
*Preferred Name (for Badge)
*Last Name
*Staff Number
*Position
*Unit/School Name
*Phone Extension
*Email
*I understand my unit will not be given a refund if I am unable to attend	Confirm
Dietary Requirements
Other Dietary Requirements
*Are you a first time attendee at this conference?
*Will you be attending the Drinks/Networking session from 4-5pm?
*Name of Supervisor
*Email Address of Supervisor
*Cost Centre 5 numbers
*Project 5 numbers
*Account 4 numbers
*Campus 2 numbers
*Entity 2 characters
*Type 2 numbers
*Name of Delegated Authority Giving Approval to Charge
*I confirm that I have received approval from my supervisor to attend the UWS Professional Staff Conference	Confirm
Email If you fill this in you are a spammer

University of Western Sydney