2013 Leadership Conference Registration Form
"Educate, Empower & Execute"
Saturday, March 2
9 a.m. - 2 p.m.
Olin B. Sansbury Jr., Campus Life Center
Registration deadline: Thursday, February 21, 2013.
|Please Submit the Following Information
An asterik (*) indicates that a response is required.
Full Name: *
I am a (select all that apply):*
If a high school student, what is the name of your school?:
If you are a member of an organization that is helping with the 2013 WLN Conference, please list those organizations here:
Please indicate the types of sessions you would be interested in attending (select up to four):*
Please indicate any food allergies or dietary restrictions (please write "none" if you have no restrictions:
Please indicate any needs/considerations that you'd like to make us aware of:
How did you hear about the 2013 WLN Conference? (i.e., USC Upstate website, current student, faculty/staff member, local publication, etc.):