2019 Northern Region Leadership Conference Registration
PO Box 233818, Sacramento, CA 95823
Email address *
School/Club Name *
School/Club Address *
Advisor(s) Name *
Advisor's Cell Phone Number *
Advisor's E-Mail Address *
List Your Club's Leadership Positions and Name of the Student in the position (ex: Kishaun Thorntona, President, Dechelle Rasheed, Treasurer) *
Do you have any students running for a Northern Region youth board position at this Conference? If so, please list the names of the students and the position they are running for. Make sure interested students fill out the Petition on our website at www.ubsuc.com/regions.html (Ex: Kishaun Thorntona, President; Dechelle Rasheed, Treasurer) *
List all participants who are attending this conference? Include their First and Last Names, Grade, and Shirt Size (S,M,L,XL,XXL) (ex: Kishaun Thorntona, Advisor, L ; Student First Name Last Name, 12, M *
Will your club be paying by school check or PayPal? (Your payment is due upon registration.) *
Will your club be paying the club fee at the same time of registration?
How did you hear about this event?
What would you like to know from CSU Sonoma?
What are some of your students' interests? This will help us better prepare and plan for your students at the Conference and Convention.
What are some of the challenges you have with your BSU this year?
What are some of the best practices your BSU uses that other BSUs may benefit from? (Fundraising, events, recruitment, leadership opportunities, community service, etc)
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