Student Registration
University of South Carolina
2013 Community Partner Breakfast
Tuesday, October 8th 7:30 a.m. – 9:00 a.m.

Name:
Class Year

Academic Major:
List any student organizations of which you are a member/officer:
Email Address:
Cell Phone:
1. What opportunities are you looking for as a result of attending this event (check all that apply).

2. Please select a topic you are interested in networking around at the Community Partner Breakfast (this information will be used in creating seating arrangements at the breakfast):

3. How did you hear about the Community Partner Breakfast?

4. Special Notes or Comments:
I understand that some of this information may be shared with other participants during the Community Partner Breakfast to better facilitate connections. Note: Your phone number will not be shared. It will only be used to remind you of the event.
 
The University of South Carolina is committed to providing equal opportunity for participation in all programs, services, and activities. Accommodations will be made for persons with disabilities. Requests received after September 28, 2013 will be honored whenever possible. Please indicate below any accommodations (including specific dietary restrictions) we should address so that you are able to participate in this program: