Social Justice @ CBU

Name and Contact Information

First Name*

Middle Name

Last Name*

I am a....*

Student

Counselor/Chaperone

Are you coming to this event with a group from your school?*

Birthdate*

Mailing Address*

Country

Street

City

Region

Postal Code

Email Address*

Mobile Number*

Number of Guests (NOT including yourself)

Program Information

Anticipated College Entry Term*

When enrolling, I will be an...*

Program of Interest*

Current or Most Recent School*

CEEB Code

Note: By registering for this event, you are giving permission to CBU to use photos or video footage taken at the event, including for use in future marketing materials. For questions about photo use, please contact Lisa Manning (lisa.manning@cbu.edu).

For questions about the event, please contact Candice Rutherford (candice.rutherford@cbu.edu).