Scholars Weekend

Scholars Weekend Registration

Student Information
First Name*
Middle Name
Last Name*
Preferred Name*
As you would like your name to appear on name tag
Intended Major*
Contact Information
Email*
Enter Email Confirm Email
Phone*
Phone Type
Event Options
Program Selection*
- Disciples Honors (Feb. 3 - 4, 2017)
- Honors Program (Feb. 3 - 4, 2017)
Additional Information
Parents/Guests
Please list the first and last names of parents/guests attending.
Food Allergies
If you or your guests have food allergies, please note them here.