Senator Yaw Student Government Seminar Registration

Thursday, March 13, 2025

Pennsylvania College of Technology
One College Avenue
Williamsport, PA 17701

Registration Deadline – January 24, 2025

Name of Advisor(s):*
Name of School*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Office Phone Number:*
Advisor's E-Mail Address:*

I plan to attend the 2024 Seminar*
Yes
No
PLEASE FEEL FREE TO INCLUDE UP TO 20 STUDENTS BELOW
Student 1
Name:
Student 2
Name:
Student 3
Name:
Student 4
Name:
Student 5
Name:
Student 6
Name:
Student 7
Name:
Student 8
Name:
Student 9
Name:
Student 10
Name:
Student 11
Name:
Student 12
Name:
Student 13
Name:
Student 14
Name:
Student 15
Name:
Student 16
Name:
Student 17
Name:
Student 18
Name:
Student 19
Name:
Student 20
Name:
Please indicate any students with food allergies by listing their names below, and include specific allergies:
Phone
This field is for validation purposes and should be left unchanged.