2019 NCSU History Conference Registration
Name
*
First Name
Last Name
Email
*
example@example.com
Institution
*
I am:
*
a presenter
a commentator or moderator
an admitted graduate student at NC State for Fall 2019
Interested in Applying to the Graduate Program at NC State in the Future
a History Department alum not participating on a panel
a current student at NC State not participating on a panel
a History Department faculty member not participating on a panel
Other
I plan on attending the admitted student dinner, March 22 (Fall 2019 admits only)
*
Yes, I will be there
No,I won't be able to make it
I am not yet sure
I am attending for (select all that apply)
*
Keynote address
Morning Panels
Afternoon Panels
Meal Options
Lunch
*
Yes, I will be staying for lunch
No, I will not be staying for lunch
Special Dietary Restrictions
Vegetarian
Vegan
Kosher
Other
Do you have any food allergies?
Submit
Should be Empty: