2018 Northern Region Leadership Conference Registration
PO Box 233818, Sacramento, CA 95823
Email address *
PLEASE READ AND CHECK THE BOXES THAT APPLY *
Required
I am registering for the following Roundtable *
Required
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 Roundtable? 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, and Grade (ex: Kishaun Thorntona, Advisor ; Student First Name Last Name, 12 *
Will your club be paying CLUB FEES by school check or PayPal? (Your payment is due upon registration.) *
How did you hear about this event?
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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