(
*
indicates a required field.)
*
1).
First Name
*
2).
Last Name
*
3).
Banner ID
*
4).
Phone Number
*
5).
Degree Program
*
6).
Email Address
*
7).
Department/Program Hosting Event
*
8).
Total Cost of Event
*
9).
Estimated Attendence
*
10). Description & Benefit of Event