Open Campus Day Marketplace March 28

Registration Type

Are you registering a(n)...
Academic Department/Program = biology, fine arts, social work, chemistry & forensic science or College of Education
Student Organization = Freshmen Class SGA, Campus Activities Board, ECHOS or Art Club

Academic Department/Program

Student Organization

Department Information

Department/Program Name

Student Organization Information

Student Organization Name (please no abbreviations, use the full name)

Using 1-2 sentences, briefly describe the purpose of your student organization. How would you describe your organization to a prospective SSU student?

Primary Contact Information

Primary Contact First Name

Primary Contact Last Name

Primary Contact Email

Primary Contact Phone Extension (i.e. 912-358-XXXX)

Primary Contact Cell Phone

Secondary Contact Information

Check if you would like to add a secondary contact to be copied on messaging about Open Campus Day.

Secondary Contact Information

Secondary Contact First Name

Secondary Contact Last Name

Secondary Contact Email

Secondary Contact Cell Phone

Advisor Information

Advisor First Name

Advisor Last Name

Advisor Email

Advisor Campus Phone (use dashes)

Set-Up

Will your department require electricity (ex: for a laptop)?

*NOTE* Please be mindful that if electricity is needed you will be placed near an outlet and your department will be responsible for providing the extension cord.

If needed, could your department provide your own table(s) for Marketplace?

Yes

No

Faculty/Staff Attendee Information

Faculty/Staff First & Last Name 1

Faculty/Staff First & Last Name 2

Faculty/Staff First & Last Name 3

Faculty/Staff First & Last Name 4

Faculty/Staff First & Last Name 5

Student Representatives

Will current SSU students assist during the Academic Marketplace?

Total number of SSU students representing?

SSU Student First & Last Name 1

SSU Student First & Last Name 2

SSU Student First & Last Name 3

SSU Student First & Last Name 4

SSU Student First & Last Name 5

Comments

Any additional comments or notes we need to know?