Engineering Ambassador Workshop Registration | College of Engineering

First Name Required

Last Name Required

School/Organization Required

Department Required

E-mail Required

Phone Required

Name Required

Cell Phone: Required

Relationship Required

Describe any dietary restrictions or special considerations

Do you have any mobility considerations that may affect your ability to walk short distances? Required

Yes

No

I am an: Required

Engineering ambassador (Junior ambassador, first year in the program)

Engineering ambassador (Senior ambassador, 1 or more years in the program)

Advisor

Other

If Other:

Gender Required

Male

Female

other

If Other

Age

Major of Study Required

Year of Study Required

If Other

Check if any of the following

First generation college student

Transfer from a community college

Why are you participating in the Engineering Ambassadors Workshop? Required

For Nebraska Senior EA's or mentors, which dates/times will you attend?

We ask that all attendees adhere to their respective institutional policies as outlined within their Student Code of Conduct. Your agreement will ensure that all participants have a safe and enjoyable experience. *

I agree to abide by these policies Required

Selecting this box indicates that I understand and agree to abide by these policies