Please fill out this registration form to sign up. Mail your registration check to SIUC Mathematics. See address below.
Email Required. Confirmations will be emailed. Make sure the email address is correct.
Please check one. The person attending is a
Please check ONLY 4 areas of greatest interest. Check the web -
for Workshop Descriptions.
Engineering and Technology
Technical Careers - Aviation/Automotive
Workshops - Because workshops fill up fast, we cannot guarantee that everyone will get all their choices. Have you previously attended EYH?
No, I have NOT previously attended EYH.
Yes, I have previously attended EYH.
If Yes to previously attending, what was the name of Workshop 1?
If Yes to previously attending, what was the name of Workshop 2?
If Yes to previously attending, what was the name of Workshop 3?
If possible, I would like to attend the same sessions with
Registration Fee (includes lunch). Mail Check or Money Order payable to SIUC. Sorry, no Credit Cards Accepted.
I am mailing my Registration On or Before October 4th - $10. Mail check or money order to: SIUC Mathematics, EYH, Neckers 360 - MC 4408, 1245 Lincoln Drive, Carbondale, IL 62901
I am mailing my Registration After October 4th - $17. Mail check or money order to: SIUC Mathematics, EYH, Neckers 360 - MC 4408, 1245 Lincoln Drive, Carbondale, IL 62901
Permission to Photograph.
Yes, to photo. Please fill out the permission slip
and send with your money.
No, I do not wish my daughter to be photographed.
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