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2014 EPSA Conference Registration Form


Hello and thank you for filling out the online EPSA conference registration form. Please fill out this brief form with your contact information, and your preferences/interests for the conference.

1. Name:*
2. Email address:*
3. School you are currently attending:

4. I am interested in the following areas of Student Affairs/Student Services/Higher Education:
Campus Activities
Residential Life
Greek Life
Housing and Greek Life Marketing
Union/Meeting & Conference Services
Career Services
Admissions
International Services
Academic Advising
Diversity/Multicultural Programming
University Marketing and Promotions
Accessibility Services

5. What are you currently involved in on campus
Res Life
Greek
SGA
Student Activites
Leadership
Other
6. If other, please put here
7. Are you interested in the mentorship program?
Yes
No
Would like to know more about it
8. Please Check the appropriate box below*
Undergraduate student
Graduate student
Professional
9. Comments/questions about the conference:

10. Please list any special dietary needs.