2023 Virtual Academic Conference Registration Form

2023 Virtual Academic Conference Registration

Please fill out the form below to register for the Virtual Academic Conference, which will be held on April 1st (10:00am-12:00pm CST) via Zoom. This year's keynote will be presented by Flower Darby, co-author of "Small Teaching Online." Your email will be used to send information about the Virtual Academic Conference and FCI communication, and we will use your mailing address should you win our book giveaway. We look forward to seeing you there!
Full Name*

First NameLast Name
Park Email Address*
Alternative Email Address (if you prefer to receive a one-time reminder about the conference at an email address other than your Park email)
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please describe your role at Park University (select all that apply):

RemoteParkville CampusPart-timeFull-time
In which modes do you regularly teach (select all that apply)?

Face-to-faceBlendedPirate PatchOnline