Event Registration Form
Please complete the fields below in order to register for this event. All fields marked with an (*) are required fields for completion.
Event Details
Enrollment Day - June10 Registration
Start Date:6/10/2014End Date:6/10/2014
Start Time:8:30 AMEnd Time:1:30 PM
*First Name: *Last Name:
*Email Address:
Address 1: 
Address 2:
City: 
State: 
Zip/Postal Code: 
County: 
Phone Number: 
If you plan to major in Education, what area do you plan to teach?
Will your parent/guardian be attending Enrollment Day with you?



Relationship to You



 
Would you like to receive our Parent/Guardian Newsletter at this address?


Relationship to You



 
Would you like to receive our Parent/Guardian Newsletter at this address?


Will you need assistance to complete Federal Student Loan Applications that day?




Please verify that you have completed all required fields above and then use the buttons below to either submit your registration request or you may cancel out of this registration process.