Staff Retreat RSVP Form Name(Required) First Last Email(Required) Department(Required)BiostatisticsClinical and Health PsychologyCollege Administration/Dean's OfficeEnvironmental and Global HealthEpidemiologyHealth Services Research, Management and PolicyOccupational TherapyPhysical TherapySpeech, Language and Hearing SciencesAre you able to attend this year's Staff Retreat, 12 – 4 p.m. on Tuesday, July 21 at the Harrell Medical Education Building(Required) Yes, I am able to attend No, I am not able to attend Do you have any dietary restrictions?(Required) Yes No Please list all dietary restrictions, separated by commas:(Required)Do you have any accessibility needs or require any accommodations to fully participate in this event?(Required) Yes No Please describe your accessibility needs and/or accommodations so we can best support you:(Required)Please acknowledge that in order to participate in this staff retreat you will need to complete an online profile sent during the week of June 22nd by Irma Alvarez from UF Training & Organizational Development. Completing the profile takes about 10 minutes and will generate your individual Extended DISC® report which you will receive on the day of the retreat. Participation is voluntary and your data will be erased within 30 days after our retreat.(Required) I acknowledge the above statement.