School of Mathematics & Applied Statistics (SMAS)

Registration Form

Free early online registrations between 1st October and 15th December 2009.

Late registrations between 16th December 2009 and 29th January 2010 will incur a fee of $20 (Incl. GST)

Personal Information
Starred fields are mandatory. Some mandatory data is collected for reporting purposes and will be used in accordance with the University of Wollongong  privacy policy. Click here for more information on the UOW privacy policy.
Surname*
Other Names*
Preferred Name on badge
Title
Gender* Male Female
University/Institution*
Department*
Country*
E-Mail Address*
Telephone
Mobile Phone
Postal Address
Abstract

If you wish to submit an abstract at this time please cut and past into the box below. Abstracts can also be submitted directly to Ms Sue Denny, the Project Coordinator.  For poster presentations please provide an abstract to outline your poster.
Dietary Requirements

Please provide the details of any dietary requirements you may have in the space below.
Sessions
I am interested in attending the following:

 Video Genres
Round tablet discussions
Developing video-based resources and table technology
Learning designs
Technical tips
Evaluation, peer review and dissemination
Discipline breakout sessions: Engineering, Science, Agriculture, Chemistry, Education, Mathematics, Statistics, Commerce
Poster Presentations
General contributed papers
Consent
I am aware of the UoW privacy policy and that UoW may video-record parts of the symposium and take pictures for publicity purposes and/or for educational use. The personal information shown on this webpage provided by you will be stored on a database and may be incorporated into a delegate list for the benefit of all delegates and sponsors. If you do not wish to be included on any delegate list or ALTC Symposium 2010 members directory then tick this box. No other use of this information is permitted by the organisers of ALTC Symposium 2010. This information will be used to provide you with information of future ALTC conferences and activities.
Submission of Application

Once you have filled in your form you can submit your application by pressing the button below.


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Last reviewed: 25 October, 2011

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