Register Online:

 

Step 1: List up to two (2) people at your location registering for the “Workplace Wellness@Your Library” symposium:



First Name:
Last Name:
Email Address:
First Name:
Last Name:
Email Address:

Step 2: Provide your contact information:

The legal name of your library:
Library Street Address:
City:
State:
Country:
Zip Code:
Phone Number(s):

Step 3: Would you like to give a poster session about your workplace wellness efforts?    



If you would like to give a poster session, what is the title of your poster?

Step 4: We are interested in knowing about your interest in workplace wellness. Please include a short narrative description of your interests (limit: 250 words). These narrative descriptions will be shared with the speakers.

Step 5: Please add any questions or comments that you might have:




Note: If you are having an issue with the form please e-mail Tricia Lantzy by following this link. You can download the form from the previous page and send it as an attachment, or simply send an e-mail and we'll send you the form in the e-mail. We apologize for the inconvenience.