☐St. Thomas Campus  
 
 
 
 
 
 
☐St. Croix Campus 
 
 
REGISTRATION FORM 
for 
“RESOLVING ETHICAL ISSUES IN THE WORKPLACE” 
 
 
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 indicate if you need Continuing Education Credits by checking the box. ☐ 
 
Please complete this form, print and fax or mail 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 
www.uvi.edu 
Fax (340) 693-1005      Call (340) 693-1499