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EGL Event Registration – Program Leaders

Program Leader Event Registration Form

Name
Would you like to participate in our Program Leader Panel?*
Date: Wednesday, November 15 Time: 2:30pm-3:30pm Location: MCHU 206 EGL will host a moderated panel session with program leaders and EGL staff to highlight summer programs and share some favorite memories from last year’s programs!
- Yes
- No
Panel Attendee Information*
Please list all program leader attendees who attend the panel.
First Name Last Name Email
Would you like to host an information session for your program?*
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
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