WIDH Registration

* Indicates a required field.

Personal Information

First Name: *

Last Name: *

Email Address: *

Your title/position:
For students, please indicate whether studying at BS, MS, or PhD level

Name of your institution/organization: *

Address of institution/organization:

Please check the box below if your employer requires an official letter of invitation to attend the workshop: * Yes, I require an official invitation No

Please select your preferred course in the first box. Please select your two alternate courses in the second block. Courses are filled on a first-come, first-enrolled basis. We will try our best to place you in your top course.

Registrants will be notified on a rolling basis.

My Preferred Course: *

My Two Alternates: *

If you have any difficulty with this form, please let us know.