2025-2026 ECMC College Nights Registration Site Host Registration Form Question Title * 1. Site name Question Title * 2. School district Question Title * 3. Site Physical Address (no PO Boxes) Street Address City State Zip code Question Title * 4. Site Mailing Address Enter only if different than physical address Street Address City State Zip code Question Title * 5. Site Host Coordinator First and Last Name Job Title Preferred Email Secondary Email Work phone Question Title * 6. Alternate Point of ContactThis person will be contacted in the event you are unreachable. Please do no list yourself First & Last Name Job Title Email Address Phone Number Question Title * 7. Enter additional names and email addresses of individuals you want to receive ECMC College Nights communication emails (optional) Name Email address Name Email address Name Email address Question Title * 8. Event DateKeep in mind your school calendar of events, holidays, breaks, ect.Your site name will be listed to the College Nights website on the locations page. If you need to change your event date, please email us at collegenights@ecmc.org. Select Event Date between 10/1/2025 - 4/30/2026 Date Question Title * 9. If you will be hosting additional ECMC College Nights events this school year, provide the date for each additional event Question Title * 10. If you will be co-hosting an ECMC College Nights event with another school(s), provide the name of the school(s) Question Title * 11. Sites in CA, CO, CT, MN, OR, or VA: Interested in partnering with one of ECMC's College Place Directors to help present at your College Nights event? Let us know! This is for interest purposes only. We’re eager to help where possible, but please note that availability is not guaranteed. Yes No Question Title * 12. By checking this box, I acknowledge the following:1. I am required to provide the total number of attendees from the ECMC College Nights event to ECMC after the event. I understand if I do not report attendance numbers by the required deadline of May 8, 2026, the student scholarship award will be revoked (if scholarship eligible). 2. I 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.3. To ensure I receive timely emails about my event, I will add collegenights@ecmc.org to my email safe senders list (see Outlook instructions here).4. I will email collegenights@ecmc.org to communicate if there are any changes to the Site Host Coordinator and or if I need to change the date or cancel my event.5. By providing your contact information, ECMC may reach out to you and offer additional free resources throughout the year. I agree Thank you for signing up to host an ECMC College Nights event! You will receive a confirmation email from collegenights@ecmc.org 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.Questions? Email collegenights@ecmc.org Submit