Date: Saturday, February 25, 2012 from 9:00 a.m. to 11:30 a.m. (registration begins at 8:30am)
First Name:
Last Name:
Phone:
Email:
Street Address:
City: State: --Select-- AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip:
Employer:
Title:
College or University:
Year of Undergraduate Degree:
Which degree are you interested in?
Number of Guests accompanying you to the event:
--Select-- I acknowledge that by submitting this form, I am registering for the MSJ Open House on Saturday, February 25, 2012 from 9:00 a.m. to 11:30 a.m.
If you need directions or have any questions, please contact Helen A. Cummings at 973-642-8380 or helen.cummings@shu.edu.
