BCN 2019 Registration
University Profile
Please complete the following information about your university/institution.
Name of University/Institution *
Your answer
Address of University/Institution *
Your answer
Website link: *
Your answer
Please provide us with a 100-word paragraph profile of your organization/university for our website and brochure. *
Your answer
Is your institution an accredited university/college? *
Does your institution accept the Common App? *
Representative Information
Please fill out the following information about the person who will be representing your institution at Brussels College Night 2019.
Last Name *
Your answer
First Name *
Your answer
Position Title *
Your answer
Email Address of Representative *
Your answer
Phone Number of Representative *
Your answer
Registration
Registration Type *
Do you require an invoice? *
If the pre-fair contact (i.e., the person responsible for managing registration and payment) is different from the College Night representative, please provide their name and contact details below.
Your answer
Would your representative be interested in leading a panel discussion or workshop as part of Brussels College Night? If so, please select preferred topics or suggest your own.
Is there anything else we should know in order to ensure your successful participation in Brussels College Night 2019?
Your answer
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