Registration Form - Stream Restoration

*I am registering for:

Please select the workshop(s)/course(s) you are registering for.

Partnering with Beaver in Restoration Design Workshop - October 23-25, 2012 in Logan, UT River Bathymetry Toolkit - Restoration Monitoring Workshop - October, 2012 (Date TBD) in Logan, UT Sediment Transport in Stream Assessment and Design - August 6-10, 2012 in Logan, UT

*First Name

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*Last Name

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Institution/Affiliation

Please list the current institution(s) you are employed at, enrolled as a student at or affiliated with.

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*Address

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*City, State, Zip

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*Email

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*Phone

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Discipline

What do you call yourself?

Occupation/Sector

*Education Background

What is the highest level you have completed.

Restoration Experience

Please select the most appropriate us a little about your past experience with stream and/or river restoration.

Experience in Restoration Assessment Experience in Restoration Construction Experience in Restoration Design Experience in Restoration Monitoring Experience in Restoration Planning No Restoration Experience Studied Restoration

Tell us briefly about your professional work or studies as it relates to stream restoration

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Please list specific topics in which you are interested in learning more about

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Do you have any dietary restrictions?

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Do you have any accessibility needs?

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How did you hear about this course or workshop?

*Are you interested in taking this course for professoinal or graduate credit?

We offer graduate credit through Utah State University for registered students, and professional credit for a $50 processing fee.

No Yes, I will (or already have) register in Banner as a USU Student Yes, I would like to recieve a profesional credit certificaiton

*How will you be paying?

Due to a change in university policy, we do not accept credit cards for payment. If you are a USU student, your payment is included in your tuition and fees. Otherwise, you will receive payment instructions after submitting this form.

Non-USU: Applying for Scholarship Non-USU: Check or Purchase Order USU: On Campus Expenditure (OCC) USU: Registered as USU Student (tuition)

*Verification : Please answer the question below

Name one of the three primary colors: