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He Huliau 2011 Conference Registration Form

Building Diversity and Capacity in the Healthcare Workforce: An Integrated Community-Based Approach

Ala Moana Hotel, Honolulu, Hawaiʻi

March 2, 2011

Registration Form (One Participant per Form)

NoteTo register for this conference, please:

  1. Complete, and submit, your registration information in the online form below.
  2. Your registration will be confirmed after we receive your payment or payment authorization.

NotePlease note: The deadline for Early Registration is February 18, 2011 (Midnight Hawaiian Standard Time). Registration fees will increase after February 18, 2011.

Cancellation Policy

  • All cancellations are subject to a $75.00 administrative service fee.
  • All cancellation requests must be received in writing to huliau@hawaii.edu.
  • No refunds will be provided for cancellations received after February 22, 2011.
  • Refunds will be processed within 4 weeks after the completion of the He Huliau 2011 Conference.

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Section 1: Personal Information
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(Proof of full-time status required. Submit a letter from the Dean/Dept. chair verifying status, or a copy of the front & back of student I.D. to: huliau@hawaii.edu)
Enter your name as you wish it to appear on your badge (e.g., John Doe):
Special Needs: Do you have special needs during the symposium?

If you need special arrangements due to disability, please contact the UH Hilo Conference Center at huliau@hawaii.edu before February 22, 2011.
Section 2: Conference Registration

Your full symposium registration fee includes:

  • Entrance to plenary sessions
  • Access to discussion groups
  • Participant packet with program & roster
  • Following functions:
    • 03/02/2011: Continental Breakfast
    • 03/02/2011: Lunch
    • 03/02/2011: AM & PM Breaks