Online Registration Form

Date: Saturday November 4, 2017
Time: 9:00AM - 10:30AM
Location: UC Riverside 
 
The Road to College Conference is an opportunity for EAOP participants in the Junior and Sophomore years to learn how to get competitive for college admissions. Students and parents are invited to discuss key steps to take during the academic year to ensure that they are making the most of the academic  year. 

Student's First Name:

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* 1. Student's First Name:

Student's Last Name:

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* 2. Student's Last Name:

High School Graduation Year

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* 4. High School Graduation Year

Do you belong to any of the following Community Based Organizations?

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* 5. Do you belong to any of the following Community Based Organizations?

Student's E-mail Address:

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* 6. Student's E-mail Address:

Confirm Student's E-mail Address:

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* 7. Confirm Student's E-mail Address:

Parent/Guardian 1

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* 8. Parent/Guardian 1

Parent/Guardian 2 (if applicable)

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* 9. Parent/Guardian 2 (if applicable)

Please specify if the student or parent/guardian needs special accommodations due to a disability.

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* 10. Please specify if the student or parent/guardian needs special accommodations due to a disability.

What topics of interest do you have regarding preparing for college admissions? Select all that apply.

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* 12. What topics of interest do you have regarding preparing for college admissions? Select all that apply.

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