Registration Form

Pre-registration is required to attend. Information will only be used to determine headcount for each event, to send reminder emails closer to event dates, and to track general demographic information of individuals who attend. Please provide as many requested details as you are able.

Please enter your contact information:

 Name:  first     last   

City/Town:    

State (select a state):  (Select) Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas (except Canada) Armed Forces Europe, Canada, Africa, Middle East Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Federated States Of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming  

Email Address:    

Phone #:   

 What best describes your current status (select one):  (Select) Current Student Alumni Community member Other  

If Other, describe:  

Graduation Status (select one):  (Select) First year student Sophomore Junior Senior Graduate student Alumni Does not apply  

 Institution (select one):   (Select) Penn State Mont Alto Shippensburg University Does not apply Other  

Other (please specify):    

Academic Major(s):   

Select Session 

Please indicate which session(s) you plan to attend. View detailed description of each workshop.