Honors Reception Registration Form

To R.S.V.P. to the March 25, 2013 Stevenson University Honors Program Reception, please provide the following information. This event will be held from 6:30 - 8:00 p.m. The deadline for registering is Friday, March 15th.

First Name:
Last Name:
Email Address:
(a confirmation email will be sent to this address.)
Phone Number:
Number attending:
Please confirm your intended major:

Would you like to participate in our Overnight Visit Program on the night of the Honors Reception?
Please note, reservations will be accepted on a space-available basis.
Yes No