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EGL Event Registration – Program Leaders

Program Leader Event Registration Form

Name*
Fall Fair Attendee Information*
Please list all program leader attendees who attend the Fall Fair and what time they plan to be there during the event.
First Name Last Name Email Time
Would you like to host an information session for your program during the Fall Semester?*
We highly recommend that all program leaders host an information session for their program. EGL can assist you with booking a room and scheduling if needed.
- Yes
- No
Will your information session be virtual or in-person?*
- In-Person
- Virtual
Date of Program Information Session*
MM slash DD slash YYYY
Time of Program Information Session*

: Hours

Minutes

AM/PM
Student Representative
Do you have a student who you would like to nominate as a representative for your program? We will reach out to them directly with an invitation to join you at your table.
Name
This field is for validation purposes and should be left unchanged.

Phone:	(860) 486-5022
E-mail:	egl@uconn.edu
Address:	Rowe Center for Undergraduate Education, Room 117 368 Fairfield Way U-4207 Storrs, CT 06269 United States of America

First Name	Last Name	Email	Time