SWACURH 2017 Delegation Registration
This form is to be filled out one time by your delegation's National Communications Coordinator.
Institution Name
*
Please Select
Arkansas State University
Arkansas State University - Beebee
Arkansas Tech University
Southern Arkansas University
University of Arkansas
University of Arkansas - Little Rock
University of Central Arkansas
Centenary College of Louisiana
Louisiana State University
Loyola University
Nicholls State University
Southeastern Louisiana University
Tulane University
University of Louisiana - Lafayette
East Central Oklahoma University
Northeastern State University
Oklahoma State University
Southeastern Oklahoma University
University of Central Oklahoma
University of Oklahoma
University of Tulsa
Baylor University
Blinn College
Howard College
Lamar University
Midwestern State University
St. Mary's University
Sam Houston State University
Southern Methodist University
Stephen F. Austin State University
Tarleton State University
Texas A&M University
Texas A&M University - Commerce
Texas A&M University - Galveston
Texas A&M Univertiy - Texarkana
Texas Christian University
Texas State University
Texas Tech University
Texas Woman's University
Tyler Junior College
University of Houston
University of North Texas
University of Texas at Austin
University of Texas at Dallas
University of Texas - El Paso
University of Texas - Pan American
University of Texas - San Antonio
West Texas A&M
University
Only fill if institution is not listed above
NCC Name
*
First Name
Last Name
NCC Email
*
example@example.com
NCC Phone Number
*
-
Area Code
Phone Number
Advisor Name
*
First Name
Last Name
Advisor Email
*
example@example.com
Advisor Phone Number
*
-
Area Code
Phone Number
Number of Male Delegates (including advisors)
*
Number of Female Delegates (including advisors)
*
Total Number of Delegates (including advisors)
*
Total Number of Delegates in Boardroom (including advisors)
*
How many vehicles will you be bringing?
*
Conference transportation is only able to accommodate for those in boardroom. Extra spaces will be limited.
How will your delegation be arriving?
*
Train
Vehicle
Plane
What is your delegation's estimate time of arrival to UCA on Thursday, November 9th, 2017?
*
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Minutes
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AM/PM Option
What is your delegation's estimate time of departure from UCA on Sunday, November 12th, 2017?
*
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