Conference on Africa

Registration Form/ K-12 Teacher Stipend Form

You may submit this form by email or in person. Please either mail your check for $35 to:

Carolyn Pumphrey, The Triangle Institute for Security Studies, CB # 3200, 403 Hamilton Hall , University of North Carolina 27599-3200 or present it at the door during registration on February 5th.

K-12 teachers are eligible for a limited number of stipends that waive the registration fee on first come first serve basis. Include a note on your school stationary that asks for the stipend.


Todays Date:
 
Your Name: 
 
Address:  
 
Telephone:  Fax: 
 
Email: 
 
K-12 School name and address.

 
 
Materials and topics interested in.

 
 
Additional contacts and their telephone/fax

 
 
Additional Comments on proposed conference:

   
Please review your information before submitting