BIT Training Sign-Up
Department Name
Contact Person
First Name
Last Name
Contact's Affiliation
Faculty
Staff
Resident
Contact's Campus Phone Number
-
Area Code
Phone Number
Contact's OU Email Address
example@ou.edu, example@ouhsc.edu
Anticipated number of attendees at training
Classification of attendees (select all that apply):
Faculty
Staff
Students
Residents
Practicum Coordinators
Field Instructors
Tulsa area community leaders (not employed by OU)
Other
Anticipated meeting location (building and room number):
Preferred Meeting Date & Time (Option 1)
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Preferred Meeting Date & Time (Option 2)
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
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