AMBYESE Conference: Student Registration
Please join us for the 35th AMBYESE conference.

Student Registration Application for the 35th Annual AMBYESE Educational Conference.

Held at University of Connecticut - Stamford Campus
Saturday 11/10/18 10am – 3:00pm.

Saturday, November 10, 2018

Career presentations will include:
• Engineering
• Health Care
• Marketing/Job Shadowing program
• Transition from high school to college
• Information Technology

First Name *
Your answer
Last Name *
Your answer
Please enter your email address. *
Your answer
Please enter your parent's email address. *
Your answer
Name of High School *
Your answer
Current Grade in High School *
Current Grade Point Average (GPA) Please list GPA as a number. Example: 3.0, 4.0 etc. *
Your answer
What is your current class standing? Example: Top 5%, Top 10%, Top 20% etc. *
Your answer
Please include your cell phone number or home phone number *
Your answer
Please include your parent's cell phone number or home number *
Your answer
Do you plan to attend a college or university? *
On what date did you take the PSAT/SAT/ACT? *
What were your scores in MATH, READING and WRITING? *
Your answer
What are your Career interests? Please check all that apply. *
If you are registered with a social network, please enter your username.
Your answer
Do you agree for your photos, quotes, and video to be used at the AMBYESE conference? Please type parent name and parent initials for permission. *
Your answer
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