2023 Shelton Leadership Forum Registration

Please select your NC State Affiliation from the following:*
Please indicate your College or Unit:*
If you are a professor or instructor at your institution, are you planning to stream this to your class?

YesNo
If yes, how many students do you anticipate will be watching?
Are they undergraduate or graduate students?

Undergraduate studentsGraduate studentsOther
Please confirm your NC State affiliated email address:*
example@example.com

Please select your NC Community College System affiliation:*
Please indicate your specific Community College:*
If you are a professor or instructor at your institution, are you planning to stream this to your class?

YesNo
If yes, how many students do you anticipate will be watching?
Please confirm your Community College affiliated email address:*
example@example.com

Please select your UNC-System Institution affiliation: *
Please indicate your specific UNC-System Institution:*
If you are a professor or instructor at your institution, are you planning to stream this to your class?

YesNo
If yes, how many students do you anticipate will be watching?
Are they undergraduate or graduate students?

Undergraduate studentsGraduate studentsOther
Please confirm your UNC-System Institution email address:*
example@example.com

Organization/Company/Institution:*
Title/Role:*
Please select your payment option:*

Virtual Registration Fee - $25I have a registration CodePay by Check

Please confirm your email address for the Virtual Forum Link:*
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Registration Options