WISE Conference Fall 2012 Registration

1. Columbia University Fall 2012 WISE Conference Registration

The WISE Conference is an opportunity for women who are interested in pursuing graduate education in science or engineering disciplines to learn about the graduate school application process, funding opportunities, the day-to-day realities of being a woman in graduate school, and possible career paths. Join us for a day of programming to celebrate, promote, and encourage women to pursue graduate degrees in science and engineering.

Please refer to our website for more information: http://columbiawise.weebly.com/

Saturday, October 27, 2012
9:30am-2:00pm
Davis Auditorium, Schapiro Center (CEPSR)
West 116th Street & Broadway, New York, NY
Columbia University

Question Title

* 1. Please provide the following demographic information

Name: *

Address 1: *

Address 2:

City/Town: *

State: *

ZIP: *

Country: *

Email Address: *

Phone Number:

Question Title

* 2. Undergraduate College/University

Question Title

* 3. Current Student Status

First Year

Sophomore

Junior

Senior

Other

Other (please specify)

Question Title

* 4. Indicate College Major

Question Title

* 5. Graduate Degree Level of Interest

Ph.D

Question Title

* 6. Graduate School Subject of Interest

Question Title

* 7. When do you plan to enter graduate school?

	Semester	Year
I plan to enter in	I plan to enter in Semester menu	I plan to enter in Year menu

Question Title

* 8. What questions would you most like to have addressed by attending the WISE conference? (Please list any questions you may have in a particular category below so that we may answer them during or before the conference.)

Questions regarding Admissions and Financial Aid?

Questions for women who have built successful careers in engineering?

Questions for the Graduate Student Panel?

Questions, other?

Question Title

* 9. WISE agreement

By submitting this form I understand that I will be added to the WISE conference listserve and that I may remove myself at anytime. (We will use the listserve to keep you informed as we roll out our Facebook and Twitter accounts and the latest news on our WISE speakers.)