Student Registration 

 

Name *

E-Mail Address

Phone Number *

Please list your primary phone number

Are you a Graduate or Undergraduate? *

(2012, 2014, etc)

A&S, SSH&E, WCB

Primary Major

The information you provide to register will be provided to the organizations that will be in attendance at the Diversity Reception in order that they may follow up with you for additional networking and job/internship opportunities. Would you like for them to receive your information? *