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2016 Kentucky Pedagogicon Funding Application
When
Friday, May 20
8 a.m. – 4:15 p.m.
Where
Eastern Kentucky University’s Noel Studio for Academic Creativity
Crabbe Library
521 Lancaster Avenue
Richmond, KY 40475
Faculty and staff should submit this form no later than Friday, April 15, 2016
Prefix
First Name
Last Name
Position/Department
City
State
Zip
Cell Phone Number
E-Mail Address
Special Dietary Needs (if so, please put details in comments field below)?
Pursuant to the Americans with Disabilities Act, do you require specific aids or services?
Yes I attended the Kentucky Pedagogicon Conference last year.
No I did not attend the Kentucky Pedagogicon Conference last year.
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