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2023-2024 ECMC College Nights - Site Host Registration Form

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* 1. Site name

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* 2. School district

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* 3. Site address

Street address

City

State

Zip code

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* 4. Site host coordinator

Name

Job title

Work phone

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

Name

Email address

Name

Email address

Name

Email address

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* 6. Date of your event
Select a date between 10/1/2023-4/30/2024. We will be adding your event to the ECMC College Nights website found here. If you need to change your event date, please email us at collegenights@ecmc.org so we can update the website.

Date / Time

Date

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* 7. Start and end times of your event

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* 8. If you will be hosting additional ECMC College Nights events this school year, provide the date and times for each additional event

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* 9. If you will be co-hosting an ECMC College Nights event with another school(s), provide the name of the school(s)

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* 10. Will you conduct the event virtually?

Yes

Unsure

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* 11. By checking this box, I acknowledge that I am required to provide the total number of attendees from the ECMC College Nights event to ECMC after the event. I also agree not to make any changes to the name of the event (must be called "ECMC College Nights") or to the PowerPoint presentation provided by ECMC. I also agree to present all four sections of the 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. The email will contain complete instructions needed to host your event.

If you have not already done so, order your Opportunities booklets here in preparation for your event.

By providing your contact information, ECMC may reach out to you and offer you additional free resources throughout the year.

Questions? Email collegenights@ecmc.org.

Question Title

* 1. Site name

Question Title

* 2. School district

Question Title

* 3. Site address

Question Title

* 4. Site host coordinator

Question Title

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

Question Title

* 6. Date of your event Select a date between 10/1/2023-4/30/2024. We will be adding your event to the ECMC College Nights website found here. If you need to change your event date, please email us at collegenights@ecmc.org so we can update the website.

Question Title

* 7. Start and end times of your event

Question Title

* 8. If you will be hosting additional ECMC College Nights events this school year, provide the date and times for each additional event

Question Title

* 9. If you will be co-hosting an ECMC College Nights event with another school(s), provide the name of the school(s)

Question Title

* 10. Will you conduct the event virtually?

Question Title

* 6. Date of your event
Select a date between 10/1/2023-4/30/2024. We will be adding your event to the ECMC College Nights website found here. If you need to change your event date, please email us at collegenights@ecmc.org so we can update the website.