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