Undergraduate Student Event

Join us for our Careers In Student Affairs Undergraduate Student Event

November 18th. 2017
Minneapolis Community & Technical College
1501 Hennepin Avenue
Minneapolis, MN 55403
9:30am-4:30pm

Undergraduate Student Event Registration

* Indicates required field

First Name *

Last Name *

Name for Conference Badge *

Pronouns *

First-time attendee? *

Institution Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Demographic Information

In an effort to best serve the higher education community, MCPA has started collecting demographic information at all events. These questions are not required and responses are not selected from a pre-determined list. You are able to fill in your own response. MCPA will use this data to better understand the community we are supporting and identify the needs of that community leading to continued quality events, engagement with the MN government and grant applications.

Race and/or Ethnicity *

Disability Status *

Year in School *

Sexual Orientation *

Gender Identity *

Institution Type *

Age *

Veteran Status *

Attendance Information

What dietary options should be provided for you? *

I have no specific considerations to note Please see my specific dietary considerations noted in the prompt to the right Gluten Free Vegetarian Vegan

Please list any special dietary accommodations: *

Billing Information

Cost for the event is $30.

Payment Method *

Credit Card Check

Name of Purchaser *

Do you require accommodations to participate in the event (including disability parking)? If yes, please describe the nature of the request below. If you have questions, please contact Jared Scharpen at Jared.scharpen@minneapolis.edu. *

Submit