Personal Information
Last Name
First Name
Institution
Address 1
Address 2
City
State
Zip
E-mail
Phone
Options
Choice of on-campus lodging	None Two Bedroom Four Bedroom
Roommates
Will you be participating in the campus meal program?	Yes No
Any additional accomodations necessary?

Fees
Registration fee (required): $150
Textbook fee (strongly recommended): $10
Daily on-campus lodging fee (optional): $50 for first person, $10 for each additional person (maximum
three additional persons to a suite)
Daily on-campus meal plan (optional): $18.50