Student Volunteer Registration Form

1. REGISTRATION INFORMATION* :
First Name	_______________________	Last Name	_____________________
Title/Position	_________________________________________________________	
University 	_________________________________________________________	
Work Phone	__________________	FAX____________________
Email		_____________________________________
Street Address_____________________________________
City__________________________State_________________Zip Code__________

Country___________________County/Province____________________________

2. DISABILITY/DIETARY NEEDS?
Disability accommodations will be provide upon request.  
Call Connie at 800/262-0015.

___ I request vegetarian meals

3. AIRPORT SHUTTLE:
___ I would like airport shuttle service to Ames

Arrival Date/Time __________________________
Airline/Flight No. ____________________________

(If you don't have flight information at time of registration, call Connie
at 800/262-0015 when you know.)


4. Tasks and Times:
I wish to volunteer for the following activites at the following times 
(the description of each task is highlighted in the attached letter 
and please mark as many activities as you would like to participate in):

	                Sat	Sunday	  Monday     Tuesday	Wednesday
         		PM     AM   PM    AM   PM    AM   PM    AM    PM
			-------------------------------------------------
1) Managing sessions    NA     NA   NA    __   __    __   __    __    NA
2) Registration counter NA     NA   __    __   __    __   __    NA    NA
3) Transportation desk  NA     __   __    __   __    __   __    __    __
4) Driving ISU vans**   __     __   __    __   __    __   __    __    __

5. MAIL, FAX or E-mail:
Please mail, fax or e-mail the completed form to:
Marwan Hassoun	
General Chair, Attn: Student Registration	
Iowa State University
Extended and Continuing Education
102 Scheman Building
Ames, Iowa 50011-1112
Fax: (515) 294-6223	
e-mail: mwscas96@iastate.edu

*   Iowa State University requests this information for the purpose of 
    preregistering you in a conference.  No one outside the university, 
    with the exception of participants in this conference, is routinely 
    provided this information.  If you fail to provide the required 
    information, we cannot promise accurate registration. (Reference: 
    Iowa Code, Chapter 22.11; Iowa Fair Information Practices Act.)

**  You must have a valid US driver license and be on an Iowa State 
    University RA or TA appointment at the time of the conference.

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