Curriculum Orientation Registration Form
Register for the upcoming curriculum orientation and provide your details to help us organize a successful event.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Academic Role/Status
*
Please Select
Undergraduate Student
Graduate Student
Faculty
Staff
Other
Department/Program
*
Preferred Orientation Session
*
Morning Session (9:00 AM - 12:00 PM)
Afternoon Session (1:00 PM - 4:00 PM)
Evening Session (5:00 PM - 8:00 PM)
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have any dietary restrictions?
Vegetarian
Vegan
Gluten-Free
No Restrictions
Other (please specify)
Do you require any accessibility accommodations?
Wheelchair Access
Sign Language Interpreter
Assistive Listening Device
Other (please specify)
Please share any additional comments or information that may help us prepare for your participation.
Register
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