University of the Virgin Islands
University of the Virgin Islands Center for the Study of Spirituality and Professionalism Office of the President ~ #2 John Brewers Bay ~ St. Thomas, V.I. 00802 SYMPOSIUM REGISTRATION FORM for “SPIRITUALITY AND HIGHER EDUCATION” Friday, April 12, 2013 Title ☐Dr. ☐Prof ☐Ms. ☐Mrs. ☐Mr. Last Name ___________________________________________________ First Name & MI __________________________________________ Affiliation: _______________________________________________________________________________________________________________________ Address: _________________________________________________________________________________________________________________________ Street City State Zip Code Phone #: ____________________________________________________ Alt. Phone #: ______________________________________________ Email: _______________________________________________________ Website Address: _________________________________________ Please complete this form, print and fax or mail or email to the address below. …
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University of the Virgin Islands Center for the Study of Spirituality and Professionalism Office of the President ~ #2 John Brewers Bay ~ St. Thomas, V.I. 00802 SYMPOSIUM REGISTRATION FORM for “SPIRITUALITY AND HIGHER EDUCATION” Friday, April 12, 2013 Title ☐Dr. ☐Prof ☐Ms. ☐Mrs. ☐Mr. Last Name ___________________________________________________ First Name & MI __________________________________________ Affiliation: _______________________________________________________________________________________________________________________ Address: _________________________________________________________________________________________________________________________ Street City State Zip Code Phone #: ____________________________________________________ Alt. Phone #: ______________________________________________ Email: _______________________________________________________ Website Address: _________________________________________ Please complete this form, print and fax or mail or email to the address below. ~~~ University of the Virgin Islands Center for the Study of Spirituality and Professionalism Office of the President #2 John Brewers Bay ~ St. Thomas, V.I. 00802 (340) 693-1499 (O) * (340) 693-1175 (F) www.csap@uvi.edu