* 1. First name:

* 2. Last name:

* 3. Year at the University:

* 4. Organization and Title:

* 5. Major (if undecided, please write "undecided"):

* 6. REGISTER: Please indicate which Service in Society sessions you hope to attend. Registration does not obligate you to attend and your response is not binding in any way. You are welcome to attend multiple seminars.

* 7. How did you hear about the Fall 2012 Service in Society Series?

* 8. If you would like to be contacted regarding additional opportunities for public service and community engagement, please provide your email address here: