4th Annual Student Multifaith Leadership Conf. Registration Form

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Register here for the 2015 SMLC held at Occidental College on January 31, 2015. Registration for the conference is free. We would appreciate any donations on the day of the event. The conference will begin at 8:30am with a welcome hour and will end at 4:30pm. If you have any questions or need more information, please feel free to contact Rachel Buckner at rbuckner@oxy.edu or Rev. Dr. Susan Young at young@oxy.edu. Thank you and looking forward to engaging with you on January 31st!. PLEASE NOTE: IF YOU ARE REGISTERING TODAY (1/28/2015) , WE CAN NO LONGER GUARANTEE FOOD. We do have on site areas where you can purchase food. CAN ALSO NO LONGER GUARANTEE T-SHIRT AS OF 1/30 AT 6:23 PM PST

First Name: *

Last Name: *

Email Address: *

Phone Number: *

Religious/ Non-Religious Affiliation

Feel free to name more than one or none at all

College or University Name: *

City Name: *

State: *

T-Shirt Size: *

Unisex Sizing

XXL

Are you a Student, Religious Staff Member, Faculty, or School Administrator?

Undergraduate Student

Graduate Student

Faculty Member

Staff Member

Administrator

Clear selection

If Student, what is your expected graduation year?

Will you be coming with a delegation?

If yes, how many people do you expect to attend?

Submit

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