PFF Retreat Enrollment Form - Cash

If you are paying by departmental EFS number, fill out the PFF Retreat Enrollment - EFS form.

We cannot enroll participants in the conference without a complete application.

Payment

Select Payment Option

Submit this form electronically and either pay your $10 fee at the door or drop it off in person at the Center for Teaching and Learning
Submit this form electronically and send your $10 check made payable to the University of Minnesota

Send your check to:

Center for Teaching and Learning
c/o PFF Retreat
University Office Plaza, Suite 400
2221 University Ave. S.E.
Minneapolis, MN 55414

Your Information

Name
Student or Employee ID (7 digits)
Phone
E-mail
With which college are you affiliated?
What department employs you?
How long have you been at the U of M?

Current Employment

Research Assistant
Grader
Fellowship
TA/Discussion, Lab, or Section Leader
TA/Course Instructor of Record
Other
Not currently employed by U of M

Which Graduate Degree are you seeking?

Ph.D.
M.F.A.
J.D., M.D., or other professional degree
M.A.
M.S.
Other

How did you hear about the PFF retreat?

Notice via campus mail
Notice via email
My dept. chair/teaching supervisor
Conversation with a colleague
Other, specify below

We cannot enroll participants in the conference without a complete registration form.

Stay Connected with CTL

Center for Teaching and Learning
University Office Plaza, Suite 400, 2221 University Ave. S.E., Minneapolis, MN 55414

612-625-3041
612-625-3382 (fax)
teachlrn@umn.edu
Contact CTL

The University of Minnesota is an equal opportunity educator and employer
Last modified on April 10, 2013

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