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Native American Symposium Registration 2009

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The fields that have an * beside them, are required before submitting this form.

* First Name:
Middle Initial:
* Last Name:
* Address:
(Street, Route, or Box Number)
* City:
* State:
* Zip Code:
  Phone Number:
ex. (xxx) xxx-xxxx
* Email Address:
  Tribal Affiliation:
 

 

* What College are you in (Based on Your Major):
Agricultural Institute, College of Agriculture and Life Sciences (2 year program)
College of Agriculture and Life Sciences (4 year programs)
College of Design
College of Education
College of Engineering
College of Humanities and Social Sciences
College of Management
College of Natural Resources
College of Physical and Mathematical Sciences
College of Textiles
First Year College
Transition Program

 

* Please indicate your student status:
First Year Freshman
Transfer Student

 

* Will you be attending the Native American Symposium on August 14-15th?
Yes
No, but I will be attending NC State in the Fall
No, I will not be attending NC State in the Fall

 

* Will you be living on-campus for the 2009-10 academic year?
Yes
No

 

If you are living on campus for the 2009-10 academic year, what day will you be checking into the Residence Hall?
Thursday, August 13th (1pm-4pm )-Reserved for out-of-state students and those traveling more than 3 hours
Friday, August 14th (8:30am-10am)- Regular Check-in

 

Will your parents or family members be attending the symposium with you?
Yes
(Please indicate here how many people, not including you)
No
Not sure

 

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Last Updated: March 24, 2009
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