FITReg

Student Expectations Required

I have read and understand the Student Expectations

YOUR CONTACT INFORMATION

First Name Required

Last Name Required

Student ID# Required

Campus Required

Lincoln

Omaha

Northeast Community College

Select your course affiliation. Required

Cell Phone # Required

Email Address Required

Major Required

Emergency Contact Name Required

Emergency Contact Phone Required

T-Shirt Size Required

Please list any dietary restrictions, including allergies

Please list any accommodations needed for accessibility or any other reason

Place of Birth (City, State, and/or Country) Required

Birthday - MM/DD/YYYY Required

Are you a U.S. citizen Required

Yes

No

Passport # if you are not a U.S. Citizen

I agree to allow my image(s) from this event to be displayed in College of Engineering print publications and web site. Required

I agree.

I do not agree.

I agree to allow my contact information to be shared with the participating companies for security and marketing purposes. Required

I agree.

I do not agree.

Contact information to be shared includes only: name and e-mail address.

Fall 2015 - Norfolk, Nebraska Registration