USAPPS 2014 KV 2-Day Participant Sign Up

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Welcome! This is the registration form for the Klang Valley Two-Day workshop for students: 9th and 10th August 2014, 9am - 6pm at Taylor's Lakeside Campus. Registration begins at 8am. We look forward to seeing you! #GetPumped!

Your name please? *

i.e. Natasha Jamil

Your email please? *

G-mail and an e-mail you check often is preferred :)

Your phone number please? *

Phone numbers will be used ONLY for emergency contact, and will remain undisclosed to others

Your College/Secondary School? *

Or any other academic institution you are from

Your current academic program? *

i.e. SPM, STPM, A-Levels, ADP, IB, etc.

What are your current academic plans after completing your current academic program? *

You may include 'Undecided' if you are unsure

Did you attend (or plan to attend) any Half-Day Workshops?

Half-Day Penang Workshop on 21 June

Half-Day Klang Workshop on 19 July

I did not attend any of the two

What are your expectations of the two day workshop?

Or questions you'd like answered

How did you hear about USAPPS? *

Mark any that are applicable

Friends and Family

Social Media (Facebook, Forums, etc.)

Newspapers/Posters/Radio Ads

Teachers or School Counselors

School or College Visits/Promotions

Other:

Required

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