Student Symposium on the Environment

REGISTRATION FORM

STUDENT INFORMATION

Preferred First Name

First Name*

Last Name*

Birthdate*

Student Email Address*

Student Cell Phone*

We occasionally send information about deadlines and other admissions related information via text message. Please select 'Yes' if you would like to opt in to receive text messages from Westminster College. You may opt out at any time. Message and data rates may apply.*

Yes

No

Would you like to add your mailing address?

yes

no

Home Address

Country

Street

City

Region

Postal Code

PARENT/GUARDIAN INFORMATION

Please provide at least one parent/guardian contact (required).

Parent/Guardian 1:
Relationship*

Parent/Guardian 1:
First Name*

Parent/Guardian 1:
Last Name*

Parent/Guardian 1:
Email Address*

Parent/Guardian 1:
Phone Number*

Do you want to add another parent/guardian contact?

Yes

No

Parent/Guardian 2:
Relationship

Parent/Guardian 2:
First Name

Parent/Guardian 2:
Last Name

Parent/Guardian 2:
Email Address

Parent/Guardian 2:
Phone Number

EDUCATION INFORMATION

High School Graduation Year*

High School*

Are you planning to attend college?*

Yes

No

Unsure

Will you be a:*

New College Student

Transfer College Student

Current Institution*

Anticipated College Entry Term*

Academic Interest*

Academic Interest 2

If you have a college athletic interest, please select the primary sport you in which you are interested.

STUDENT SYMPOSIUM ON THE ENVIRONMENT

SYMPOSIUM EVENTS

5:30 PM - 7:30 PM - Live Poster Presentations & Photo and Art Displays with Heavy Refreshments
7:30 PM - 9:00 PM - Live Oral Presentations & Select Video Shorts and Awards Ceremony

*Guests are encouraged to stay for the duration of the event but welcome to leave as needed.

I plan to attend the Symposium as a*

guest.

presenter.

*Students who select to be presenters will be sent a link within their confirmation email. The email will include information on how to submit project presentations.

ADDITIONAL VISIT INFORMATION

How many guests do you plan to bring?*

In an effort to better accommodate your visit,
please note any special requests and/or needs.

ADD EMAIL RECIPIENT FOR VISIT CONFIRMATION

Additional Email Address for Visit Confirmation

Once you click submit, you will automatically receive a confirmation email. If you don't see it in your inbox, please check your spam or junk folders.