Consortium on High Achievement & Success 


Pre-Health Advisors Conference

 

 

 

REGISTRATION FORM


Please complete the following registration form and submit it by May 8, 2007
IMPORTANT:
Please use Internet Explorer to register
 


Contact Information

Name: 

Title and Departmental Affiliation

College/University:

Address:

City:      State:      Zip:

Phone Number:          Email Address:

You should receive confirmation of this registration in a day or two--In the event that you do NOT please email
 patricia.maisch@trincoll.edu

 


If you have any dietary restrictions please email the information to Patti Maisch at patricia.maisch@trincoll.edu