Bonner Summer Leadership Institute 2020 at Allegheny College
Wednesday, June 3 through Saturday, June 6

Here you may review and update all information about your registration. Be sure to click the 'Update Registration' button after making any changes. Items in bold are required.
 
  REGISTRANT INFORMATION
Registration Type: INDIVIDUAL
To view or edit your registration information in the future, please provide a login password:
Login Password:
  YOUR INFORMATION
First Name: Last Name:
Position:
Department:
School / Organization:
Address:

City:
State: Zip:
Phone: Fax:
Email Address:
Are you a ...? Gender:
   TRAVEL INFORMATION
We recommend that you arrive in time for the registration block between 2-6 pm on June 3. We recommend that you depart after 11 am on June 6.
Travel Mode:
Arrival Date / Time: Departure Date / Time:
/ /
  SPECIAL INFORMATION
Please select when you are planning on attending this event:
Role/Meeting Track:
Dietary Choice:
Special Needs:
Housing Choice:
Emergency Contact Person:
Daytime Phone: Evening Phone: