Faculty Online Training Registration Form

Note: Titles in Bold indicates required field

Prefix

First Name

M.I.

Last Name

Suffix

What LiveText role do you play at your institution?

LiveText Username

Confirm Email

About Your Institution
State	Institution

Department

Phone

- -

You may only register for one session at a time.

Select the session date/timeslot you wish to attend. (in order of preference)

1st Choice

2nd Choice (optional)

3rd Choice (optional)

Will you be using a Smart Classroom?

Yes No

How long have you held a position at your institution?

years

Is this the first time you are attending a LiveText Online Training Session?

Yes No

Briefly list topics you would like to see offered in the future.