3Music Refresh Pre-Registration Form
General Information
Please fill out this form to pre-register for 3Music Refresh.
1.
Full Name :
2.
Email Address: (Please enter a valid email address where you can be reached for event updates)
3.
Affiliation: (University/Institution)
4.
Affiliation : (Hall of Residence)
5.
Student ID (if applicable):
6.
Area of Study: (Major, Department, or Field)
7.
Degree Level:
Undergraduate
Graduate
PhD
8.
Year of Study (if applicable):
9.
Areas of Interest: (Are there any specific Breakout Sessions you would particularly be interested in?)
Stress Managament
Career Path Discovery
None of the above
10.
By submitting this form, you agree to receive email updates about the event.
Thank you for your pre-registration!
Yes
No