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2020-2021 ECMC College Nights Site Host Form

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* 1. Enter Site Name

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* 2. Enter School District

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* 3. Enter Site Address

Street Address

City

State

Zip Code

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* 4. Site Host Coordinator

Name

Phone

Cell Phone

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* 5. Enter the names and email addresses of additional individuals you want to receive College Nights communication emails. (optional)

Name

Email Address

Name

Email Address

Name

Email Address

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* 6. Date of your event
Please be mindful of holidays when choosing an event date. If hosting more than one date, please enter multiple dates. If your date is unknown at this time, please enter TBD.
We will be adding your event to the College Nights website found here. If for some reason you need to change your date, please make sure you notify us at collegenights@ecmc.org so we can update the website.

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* 7. Will you conduct the event virtually?

Yes

Unsure

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* 8. By checking this box, I acknowledge that I am required to provide the total number of attendees from the College Nights event to ECMC. I also agree not to make any changes to the PowerPoint presentation.

I agree

Thank you for signing up to host an ECMC College Nights event! You will receive a confirmation email within five business days that your site has been registered. The email will contain complete instructions needed to host your event.